Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,545.00 / $16,713.00	Facility		$1,208.95	$5,545.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.33 / $4,307.00 / $9,715.00	Facility		$492.33	$4,307.00	$9,715.00
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 $388.31 / $587.63 / $1,415.00	Professional		$388.31	$587.63	$1,415.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.01 / $1,276.01 / $2,286.55	Professional		$907.01	$1,276.01	$2,286.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,634.65 / $5,744.60	Facility		$55.00	$5,634.65	$5,744.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.77 / $1,226.68 / $1,658.29	Facility		$896.77	$1,226.68	$1,658.29
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