Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,815.00 / $17,902.00	Facility		$1,208.95	$5,815.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,403.01	Facility		$67.90	$100.00	$5,403.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,322.69 / $6,603.60	Facility		$400.00	$2,322.69	$6,603.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $666.72 / $900.07	Professional		$337.68	$666.72	$900.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.36 / $728.41 / $1,343.00	Professional		$557.36	$728.41	$1,343.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,778.65 / $11,102.00 / $12,000.00	Facility		$2,778.65	$11,102.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.85 / $720.61 / $1,066.75	Facility		$473.85	$720.61	$1,066.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,064.00 / $9,606.00 / $21,278.00	Facility		$3,064.00	$9,606.00	$21,278.00