Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,859.00 / $19,368.00	Facility		$2,387.00	$8,859.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $834.93 / $918.42 / $1,127.16	Professional		$834.93	$918.42	$1,127.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.35 / $941.58 / $1,628.95	Professional		$690.35	$941.58	$1,628.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.97 / $3,925.20 / $3,925.20	Facility		$1,262.97	$3,925.20	$3,925.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.91 / $920.46 / $1,268.77	Facility		$731.91	$920.46	$1,268.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00