Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $6,695.00 / $16,713.00	Facility		$1,628.00	$6,695.00	$16,713.00
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 $250.93 / $301.12 / $474.66	Professional		$250.93	$301.12	$474.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.39 / $315.54 / $639.00	Professional		$240.39	$315.54	$639.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,425.36 / $4,901.45 / $16,394.00	Facility		$1,425.36	$4,901.45	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.87 / $381.95 / $703.30	Facility		$267.87	$381.95	$703.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,928.00 / $9,131.00	Facility		$1,433.90	$3,928.00	$9,131.00