Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $5,980.00 / $17,701.00	Facility		$621.00	$5,980.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.84 / $484.05 / $726.08	Professional		$383.84	$484.05	$726.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.85 / $539.12 / $907.17	Professional		$362.85	$539.12	$907.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.36 / $1,789.04 / $16,394.00	Facility		$1,653.36	$1,789.04	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.02 / $518.38 / $768.91	Facility		$356.02	$518.38	$768.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00