Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.95 / $5,815.00 / $17,902.00	Facility		$1,094.95	$5,815.00	$17,902.00
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 $140.36 / $211.65 / $285.73	Professional		$140.36	$211.65	$285.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $233.24 / $489.78	Professional		$177.89	$233.24	$489.78
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 $182.44 / $237.19 / $379.25	Facility		$182.44	$237.19	$379.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,928.00 / $9,131.00	Facility		$1,433.90	$3,928.00	$9,131.00