Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $839.13 / $1,132.83	Professional		$505.96	$839.13	$1,132.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.58 / $939.35 / $1,666.39	Professional		$722.58	$939.35	$1,666.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,920.34 / $16,547.20 / $26,542.00	Facility		$3,920.34	$16,547.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.11 / $954.49 / $1,344.35	Facility		$747.11	$954.49	$1,344.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,451.00	Facility		$5,284.00	$12,267.00	$26,451.00