Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,218.00 / $17,380.00	Facility		$1,174.00	$6,218.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.30 / $2,404.17 / $5,664.01	Facility		$2,034.30	$2,404.17	$5,664.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $211.98 / $292.64	Professional		$195.09	$211.98	$292.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $244.69 / $445.72	Professional		$190.78	$244.69	$445.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,238.79 / $9,133.70	Facility		$55.00	$1,238.79	$9,133.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.11 / $244.69 / $340.48	Facility		$198.11	$244.69	$340.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,758.00 / $22,073.00	Facility		$4,509.00	$9,758.00	$22,073.00