Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,390.00 / $17,013.00	Facility		$1,208.95	$5,390.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,863.00 / $11,400.00	Facility		$2,100.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $2,103.63	Facility		$64.40	$100.00	$2,103.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $213.22 / $270.29	Professional		$180.19	$213.22	$270.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $249.04 / $448.87	Professional		$180.19	$249.04	$448.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $738.44 / $946.34	Facility		$55.00	$738.44	$946.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.73 / $243.81 / $335.48	Facility		$195.73	$243.81	$335.48
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00