Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,829.00 / $17,809.00	Facility		$1,017.00	$5,829.00	$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 / $5,170.71	Facility		$67.90	$100.00	$5,170.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $888.30 / $2,226.34	Facility		$339.00	$888.30	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $199.05 / $285.23	Professional		$150.78	$199.05	$285.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $214.66 / $447.86	Professional		$163.35	$214.66	$447.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $953.70 / $3,590.15 / $12,000.00	Facility		$953.70	$3,590.15	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.24 / $210.88 / $322.27	Facility		$151.24	$210.88	$322.27
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