Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $9,639.00 / $20,103.00	Facility		$3,400.00	$9,639.00	$20,103.00
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 $744.60 / $1,088.40 / $1,469.34	Professional		$744.60	$1,088.40	$1,469.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $937.91 / $1,219.28 / $2,197.21	Professional		$937.91	$1,219.28	$2,197.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,090.34 / $16,547.20 / $26,542.00	Facility		$5,090.34	$16,547.20	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.65 / $1,233.58 / $2,010.14	Facility		$963.65	$1,233.58	$2,010.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,258.00 / $11,377.00 / $25,650.00	Facility		$6,258.00	$11,377.00	$25,650.00