Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,319.00 / $18,293.00	Facility		$1,169.00	$6,319.00	$18,293.00
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 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,091.68 / $3,039.51	Facility		$455.00	$1,091.68	$3,039.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $198.81 / $376.07	Professional		$172.48	$198.81	$376.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $188.64 / $376.01	Professional		$143.60	$188.64	$376.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $846.96 / $4,901.45 / $16,394.00	Facility		$846.96	$4,901.45	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.55 / $215.90 / $421.76	Facility		$159.55	$215.90	$421.76
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