Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,710.00 / $17,809.00	Facility		$1,080.00	$5,710.00	$17,809.00
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 / $100.00 / $5,403.01	Facility		$67.90	$100.00	$5,403.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.71 / $1,658.93 / $4,716.43	Facility		$343.71	$1,658.93	$4,716.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $357.54 / $482.68	Professional		$168.65	$357.54	$482.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $383.82 / $725.19	Professional		$292.45	$383.82	$725.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,700.52 / $7,929.30 / $12,000.00	Facility		$1,700.52	$7,929.30	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.11 / $389.46 / $564.25	Facility		$293.11	$389.46	$564.25
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,786.00 / $9,072.00	Facility		$705.00	$3,786.00	$9,072.00