Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $5,829.00 / $17,013.00	Facility		$1,188.00	$5,829.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,863.00 / $11,400.00	Facility		$2,100.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,343.60	Facility		$65.90	$100.00	$7,343.60
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 $93.08 / $110.97 / $149.81	Professional		$93.08	$110.97	$149.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $128.63 / $251.00	Professional		$93.47	$128.63	$251.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.17 / $2,510.66 / $16,394.00	Facility		$261.17	$2,510.66	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $133.16 / $197.96	Facility		$105.94	$133.16	$197.96
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00