Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,211.00 / $17,133.00	Facility		$1,174.00	$6,211.00	$17,133.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$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 $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $214.84 / $301.43	Professional		$159.34	$214.84	$301.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $249.46 / $468.35	Professional		$181.78	$249.46	$468.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.11 / $5,246.20 / $16,394.00	Facility		$1,110.11	$5,246.20	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.98 / $248.21 / $330.28	Facility		$201.98	$248.21	$330.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00