Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $5,740.00 / $17,030.00	Facility		$1,038.00	$5,740.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,863.00 / $13,697.00	Facility		$1,196.00	$5,863.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,929.19	Facility		$67.90	$100.00	$6,929.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $2,225.96 / $6,328.57	Facility		$455.00	$2,225.96	$6,328.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $370.44 / $428.26 / $700.73	Professional		$370.44	$428.26	$700.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.76 / $427.78 / $744.00	Professional		$325.76	$427.78	$744.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,257.71 / $10,639.60 / $16,394.00	Facility		$2,257.71	$10,639.60	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.95 / $485.41 / $894.61	Facility		$361.95	$485.41	$894.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,120.00 / $15,471.00	Facility		$2,181.00	$7,120.00	$15,471.00