Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,595.87	Facility		$1,659.59	$5,888.44	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $758.58 / $2,398.83	Facility		$63.10	$758.58	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $380.19 / $891.25	Facility		$186.21	$380.19	$891.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $251.19 / $380.19	Professional		$63.10	$251.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $208.93 / $407.38	Professional		$54.95	$208.93	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	53	$169.82	$169.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $131.83 / $323.59	Facility		$56.23	$131.83	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $7,585.78	Facility		$1,047.13	$2,754.23	$7,585.78