Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,812.00 / $17,902.00	Facility		$1,208.95	$5,812.00	$17,902.00
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 / $577.47 / $4,886.39	Facility		$67.90	$577.47	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $2,656.00	Facility		$633.00	$900.00	$2,656.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.21 / $365.43 / $887.44	Professional		$332.21	$365.43	$887.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.72 / $365.07 / $668.62	Professional		$277.72	$365.07	$668.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,133.60 / $3,590.15	Facility		$55.00	$3,133.60	$3,590.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.68 / $370.30 / $602.04	Facility		$284.68	$370.30	$602.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00