Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,308.00 / $16,713.00	Facility		$1,169.00	$5,308.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,654.53	Facility		$66.00	$100.00	$12,654.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $320.18 / $601.14 / $2,214.06	Professional		$320.18	$601.14	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.05 / $666.78 / $1,190.57	Professional		$487.05	$666.78	$1,190.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,866.88 / $8,957.00	Facility		$55.00	$1,866.88	$8,957.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.54 / $640.10 / $872.97	Facility		$514.54	$640.10	$872.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00