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 $155.28 / $187.74 / $494.44	Facility		$155.28	$187.74	$494.44
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 $120.63 / $153.93 / $192.41	Professional		$120.63	$153.93	$192.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $179.66 / $354.00	Professional		$130.37	$179.66	$354.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $523.38 / $688.09	Facility		$55.00	$523.38	$688.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $173.83 / $235.84	Facility		$140.54	$173.83	$235.84
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