Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,444.00 / $18,252.00	Facility		$1,992.00	$7,444.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,484.00 / $17,774.00	Facility		$2,275.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,724.66	Facility		$66.00	$100.00	$9,724.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,256.40 / $3,075.60	Facility		$705.31	$2,256.40	$3,075.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $1,034.78 / $1,396.95	Professional		$558.45	$1,034.78	$1,396.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.88 / $1,075.39 / $2,025.12	Professional		$806.88	$1,075.39	$2,025.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,658.04 / $11,500.00 / $26,542.00	Facility		$4,658.04	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.28 / $1,090.86 / $1,655.65	Facility		$869.28	$1,090.86	$1,655.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00