Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,159.00 / $17,030.00	Facility		$1,174.00	$6,159.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $221.06 / $298.43	Professional		$92.33	$221.06	$298.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $249.38 / $446.85	Professional		$180.27	$249.38	$446.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $871.35 / $4,754.80 / $16,394.00	Facility		$871.35	$4,754.80	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $243.65 / $353.70	Facility		$197.09	$243.65	$353.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,072.00	Facility		$2,048.00	$4,038.00	$9,072.00