Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.61 / $5,815.00 / $17,902.00	Facility		$1,139.61	$5,815.00	$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 / $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 $105.73 / $223.16 / $301.27	Professional		$105.73	$223.16	$301.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $241.95 / $502.35	Professional		$184.10	$241.95	$502.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.20 / $3,590.15 / $12,000.00	Facility		$1,081.20	$3,590.15	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.63 / $247.89 / $379.45	Facility		$191.63	$247.89	$379.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,928.00 / $9,131.00	Facility		$1,089.45	$3,928.00	$9,131.00