Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,505.00 / $18,293.00	Facility		$1,919.00	$6,505.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $428.65 / $5,349.65	Facility		$67.90	$428.65	$5,349.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,685.47 / $9,842.49	Facility		$633.00	$3,685.47	$9,842.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $620.74 / $838.00	Professional		$485.85	$620.74	$838.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $675.77 / $1,276.19	Professional		$515.66	$675.77	$1,276.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,442.95 / $16,547.20	Facility		$55.00	$14,442.95	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.94 / $687.54 / $1,052.69	Facility		$538.94	$687.54	$1,052.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,166.00 / $7,206.00 / $15,471.00	Facility		$2,166.00	$7,206.00	$15,471.00