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 $415.01 / $5,577.00 / $13,326.00	Facility		$415.01	$5,577.00	$13,326.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
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 $116.90 / $146.72 / $198.07	Professional		$116.90	$146.72	$198.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.92 / $175.31 / $319.85	Professional		$126.92	$175.31	$319.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $443.98 / $1,300.00	Facility		$55.00	$443.98	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.71 / $177.41 / $270.01	Facility		$144.71	$177.41	$270.01
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