Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.46 / $10,004.00 / $21,960.90	Facility		$2,802.46	$10,004.00	$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 $1,011.91 / $1,878.81 / $2,536.39	Professional		$1,011.91	$1,878.81	$2,536.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,598.63 / $2,078.21 / $3,760.91	Professional		$1,598.63	$2,078.21	$3,760.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,627.28 / $16,547.20 / $26,542.00	Facility		$8,627.28	$16,547.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,570.28 / $2,033.99 / $3,009.50	Facility		$1,570.28	$2,033.99	$3,009.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00