Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $6,423.00 / $18,483.00	Facility		$1,080.00	$6,423.00	$18,483.00
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 $66.90 / $100.00 / $5,321.49	Facility		$66.90	$100.00	$5,321.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $5,079.00 / $13,564.07	Facility		$633.00	$5,079.00	$13,564.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $203.74 / $275.05	Professional		$165.30	$203.74	$275.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $225.45 / $475.80	Professional		$172.14	$225.45	$475.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,904.05 / $22,803.95	Facility		$55.00	$19,904.05	$22,803.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.43 / $229.52 / $370.25	Facility		$180.43	$229.52	$370.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $9,606.00 / $21,278.00	Facility		$2,599.00	$9,606.00	$21,278.00