Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.16 / $4,848.00 / $16,125.00	Facility		$595.16	$4,848.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $428.56 / $922.52	Professional		$182.05	$428.56	$922.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.25 / $588.59 / $1,042.36	Professional		$348.25	$588.59	$1,042.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,609.64 / $1,709.43	Facility		$55.00	$1,609.64	$1,709.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.79 / $564.10 / $888.36	Facility		$372.79	$564.10	$888.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00