Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,626.00 / $17,380.00	Facility		$1,820.00	$6,626.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $14,981.00	Facility		$2,275.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,190.83	Facility		$66.00	$100.00	$8,190.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,256.40 / $3,075.60	Facility		$571.29	$2,256.40	$3,075.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $723.75 / $1,085.63 / $1,461.77	Professional		$723.75	$1,085.63	$1,461.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.18 / $1,137.69 / $2,145.73	Professional		$856.18	$1,137.69	$2,145.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,008.43 / $11,500.00 / $26,542.00	Facility		$5,008.43	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.33 / $1,242.46 / $1,854.47	Facility		$975.33	$1,242.46	$1,854.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00