Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,532.00 / $17,030.00	Facility		$1,017.00	$5,532.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $117.79 / $188.04	Professional		$99.40	$117.79	$188.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $124.36 / $224.53	Professional		$96.29	$124.36	$224.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.40 / $5,444.45 / $12,000.00	Facility		$354.40	$5,444.45	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.03 / $129.34 / $234.56	Facility		$94.03	$129.34	$234.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00