Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,486.00 / $17,538.00	Facility		$563.00	$6,486.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,683.64	Facility		$66.00	$100.00	$7,683.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $203.39 / $498.97	Professional		$109.08	$203.39	$498.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.29 / $309.44 / $565.22	Professional		$155.29	$309.44	$565.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $873.55 / $894.05 / $26,542.00	Facility		$873.55	$894.05	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.73 / $272.00 / $462.01	Facility		$164.73	$272.00	$462.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,068.98 / $4,060.00 / $9,131.00	Facility		$2,068.98	$4,060.00	$9,131.00