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 / $22,210.00	Facility		$2,645.00	$9,697.00	$22,210.00
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 $1,116.90 / $1,698.87 / $2,293.46	Professional		$1,116.90	$1,698.87	$2,293.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.21 / $1,871.31 / $3,392.61	Professional		$1,435.21	$1,871.31	$3,392.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,720.68 / $16,547.20 / $26,542.00	Facility		$7,720.68	$16,547.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,411.36 / $1,817.82 / $2,711.74	Facility		$1,411.36	$1,817.82	$2,711.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00