Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,608.00 / $19,894.00	Facility		$2,421.00	$9,608.00	$19,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,159.00 / $34,930.00	Facility		$4,314.00	$12,159.00	$34,930.00
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 $1,547.12 / $1,701.83 / $2,088.61	Professional		$1,547.12	$1,701.83	$2,088.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,264.67 / $1,756.13 / $3,058.09	Professional		$1,264.67	$1,756.13	$3,058.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,372.33 / $7,423.00 / $7,423.00	Facility		$2,372.33	$7,423.00	$7,423.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,368.99 / $1,719.58 / $2,364.42	Facility		$1,368.99	$1,719.58	$2,364.42
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