Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,570.00 / $17,809.00	Facility		$1,017.00	$5,570.00	$17,809.00
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 $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 $143.51 / $193.74 / $655.99	Professional		$143.51	$193.74	$655.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $368.19 / $680.72	Professional		$130.04	$368.19	$680.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $885.18 / $902.58 / $12,000.00	Facility		$885.18	$902.58	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $229.62 / $611.78	Facility		$138.31	$229.62	$611.78
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