Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,310.00 / $16,713.00	Facility		$1,017.00	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.91 / $84.52 / $222.61	Facility		$69.91	$84.52	$222.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $79.30 / $10,576.14	Facility		$46.10	$79.30	$10,576.14
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 $53.98 / $68.95 / $86.19	Professional		$53.98	$68.95	$86.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $80.37 / $165.21	Professional		$58.31	$80.37	$165.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $234.76 / $307.75	Facility		$55.00	$234.76	$307.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $77.98 / $105.63	Facility		$62.91	$77.98	$105.63
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00