Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $9,821.00 / $22,788.00	Facility		$1,169.00	$9,821.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $7,140.00 / $19,779.59	Facility		$2,097.00	$7,140.00	$19,779.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $900.00 / $13,577.00	Facility		$611.00	$900.00	$13,577.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $248.19 / $322.64	Professional		$195.83	$248.19	$322.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.77 / $281.69 / $537.00	Professional		$213.77	$281.69	$537.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $531.96 / $1,573.00 / $10,160.00	Facility		$531.96	$1,573.00	$10,160.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.29 / $299.94 / $468.62	Facility		$229.29	$299.94	$468.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,483.00 / $12,150.00 / $26,672.00	Facility		$3,483.00	$12,150.00	$26,672.00