Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,829.00 / $18,252.00	Facility		$1,017.00	$5,829.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,091.68 / $2,915.45	Facility		$633.00	$1,091.68	$2,915.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $176.78 / $238.65	Professional		$110.57	$176.78	$238.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $194.46 / $314.54	Professional		$146.63	$194.46	$314.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,278.14 / $4,901.45	Facility		$55.00	$4,278.14	$4,901.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.21 / $195.50 / $307.29	Facility		$147.21	$195.50	$307.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00