Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,308.00 / $16,713.00	Facility		$1,017.00	$5,308.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.64 / $1,191.75 / $2,130.69	Facility		$1,189.64	$1,191.75	$2,130.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $106.85 / $202.13	Professional		$81.26	$106.85	$202.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $97.51 / $197.29	Professional		$70.76	$97.51	$197.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $311.42 / $3,435.95	Facility		$55.00	$311.42	$3,435.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $99.85 / $210.31	Facility		$77.66	$99.85	$210.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00