Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,545.00 / $18,191.50	Facility		$1,017.00	$5,545.00	$18,191.50
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 $339.00 / $1,091.68 / $3,039.51	Facility		$339.00	$1,091.68	$3,039.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.29 / $234.60 / $663.21	Professional		$155.29	$234.60	$663.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $380.24 / $693.98	Professional		$140.43	$380.24	$693.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $956.52 / $977.82 / $12,000.00	Facility		$956.52	$977.82	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $248.96 / $645.33	Facility		$149.35	$248.96	$645.33
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