Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.64 / $6,211.00 / $17,809.00	Facility		$1,103.64	$6,211.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $782.63 / $8,114.52	Facility		$67.90	$782.63	$8,114.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,128.87 / $5,685.39	Facility		$633.00	$2,128.87	$5,685.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $207.94 / $1,014.52 / $1,508.23	Professional		$207.94	$1,014.52	$1,508.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.11 / $801.44 / $1,558.36	Professional		$190.11	$801.44	$1,558.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,091.34 / $1,565.61	Facility		$55.00	$1,091.34	$1,565.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.24 / $765.93 / $1,524.65	Facility		$210.24	$765.93	$1,524.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $9,604.00 / $21,278.00	Facility		$2,599.00	$9,604.00	$21,278.00