Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.80 / $6,358.50 / $17,133.00	Facility		$1,307.80	$6,358.50	$17,133.00
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 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
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 $176.47 / $257.54 / $347.68	Professional		$176.47	$257.54	$347.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $291.69 / $524.91	Professional		$224.38	$291.69	$524.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $815.16 / $5,444.45 / $16,394.00	Facility		$815.16	$5,444.45	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.54 / $286.10 / $412.06	Facility		$203.54	$286.10	$412.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $16,148.00	Facility		$3,523.00	$7,384.00	$16,148.00