Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.03 / $6,423.00 / $18,483.00	Facility		$1,387.03	$6,423.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
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 / $2,915.45	Facility		$455.00	$1,091.68	$2,915.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $305.29 / $577.49	Professional		$258.83	$305.29	$577.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $284.76 / $543.74	Professional		$217.15	$284.76	$543.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.90 / $4,901.45 / $16,394.00	Facility		$1,296.90	$4,901.45	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.41 / $315.87 / $579.51	Facility		$239.41	$315.87	$579.51
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