Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.86 / $5,390.00 / $17,133.00	Facility		$1,164.86	$5,390.00	$17,133.00
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 / $365.11 / $5,170.71	Facility		$67.90	$365.11	$5,170.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,766.05 / $4,917.14	Facility		$633.00	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.05 / $239.86 / $1,960.02	Professional		$218.05	$239.86	$1,960.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $239.86 / $498.40	Professional		$182.75	$239.86	$498.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $7,929.30	Facility		$55.00	$6,920.96	$7,929.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.90 / $250.68 / $468.23	Facility		$195.90	$250.68	$468.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00