Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,980.00 / $16,973.00	Facility		$1,919.00	$5,980.00	$16,973.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,833.23	Facility		$66.00	$100.00	$6,833.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $779.77 / $1,052.69	Professional		$421.82	$779.77	$1,052.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.52 / $815.01 / $1,535.82	Professional		$612.52	$815.01	$1,535.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,558.18 / $11,500.00 / $16,394.00	Facility		$3,558.18	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.69 / $843.46 / $1,256.19	Facility		$690.69	$843.46	$1,256.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00