Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.19 / $6,423.00 / $18,483.00	Facility		$1,173.19	$6,423.00	$18,483.00
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 $218.25 / $240.08 / $437.34	Professional		$218.25	$240.08	$437.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $239.10 / $475.79	Professional		$182.08	$239.10	$475.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.11 / $4,901.45 / $16,394.00	Facility		$1,077.11	$4,901.45	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.31 / $281.20 / $526.66	Facility		$202.31	$281.20	$526.66
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