Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $6,025.60	Facility		$66.07	$2,344.23	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,445.44 / $1,995.26	Facility		$371.54	$1,445.44	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $776.25	Professional		$302.00	$549.54	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $870.96	Professional		$245.47	$457.09	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $19,498.45 / $19,498.45	Facility		$5,754.40	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $776.25	Facility		$257.04	$467.74	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61