Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.70 / $5,310.00 / $16,713.00	Facility		$1,021.70	$5,310.00	$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 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $193.66 / $261.44	Professional		$93.82	$193.66	$261.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $219.45 / $387.64	Professional		$158.58	$219.45	$387.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $613.79 / $8,957.00 / $12,000.00	Facility		$613.79	$8,957.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.42 / $219.45 / $310.29	Facility		$173.42	$219.45	$310.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00