Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $4,848.00 / $16,125.00	Facility		$218.47	$4,848.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $61.55 / $61.55	Facility		$61.55	$61.55	$61.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $198.00 / $268.06	Professional		$39.09	$198.00	$268.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $116.39 / $237.43	Professional		$35.50	$116.39	$237.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $227.80 / $227.80	Facility		$55.00	$227.80	$227.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $96.90 / $238.04	Facility		$36.75	$96.90	$238.04
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00