Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,570.00 / $17,701.00	Facility		$1,017.00	$5,570.00	$17,701.00
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 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $888.30 / $2,226.34	Facility		$447.57	$888.30	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $187.14 / $205.85 / $375.36	Professional		$187.14	$205.85	$375.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $204.81 / $442.78	Professional		$156.28	$204.81	$442.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $773.05 / $3,590.15 / $12,000.00	Facility		$773.05	$3,590.15	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $236.06 / $416.57	Facility		$173.64	$236.06	$416.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,786.00 / $9,072.00	Facility		$1,089.45	$3,786.00	$9,072.00