Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.04 / $5,717.00 / $18,252.00	Facility		$985.04	$5,717.00	$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 / $3,039.51	Facility		$633.00	$1,091.68	$3,039.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $191.90 / $259.07	Professional		$156.37	$191.90	$259.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $211.09 / $376.55	Professional		$159.46	$211.09	$376.55
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 $167.48 / $212.62 / $335.68	Facility		$167.48	$212.62	$335.68
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