Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
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 $54.36 / $105.51 / $360.54	Professional		$54.36	$105.51	$360.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $218.09 / $422.57	Professional		$96.33	$218.09	$422.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $542.04 / $550.40 / $16,394.00	Facility		$542.04	$550.40	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $172.70 / $333.84	Facility		$94.73	$172.70	$333.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00