Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,403.00 / $20,509.00	Facility		$2,843.00	$9,403.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
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 $819.06 / $1,288.39 / $1,739.33	Professional		$819.06	$1,288.39	$1,739.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.73 / $1,429.65 / $2,587.17	Professional		$1,099.73	$1,429.65	$2,587.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,943.60 / $16,547.20 / $26,542.00	Facility		$5,943.60	$16,547.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.73 / $1,413.53 / $2,276.50	Facility		$1,099.73	$1,413.53	$2,276.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $11,624.00 / $26,109.00	Facility		$2,900.00	$11,624.00	$26,109.00