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 $161.77 / $195.59 / $515.12	Facility		$161.77	$195.59	$515.12
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 $125.47 / $162.33 / $202.91	Professional		$125.47	$162.33	$202.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $189.10 / $353.88	Professional		$137.29	$189.10	$353.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $549.39 / $724.57	Facility		$55.00	$549.39	$724.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $183.05 / $248.58	Facility		$147.97	$183.05	$248.58
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