Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $4,420.00 / $15,877.00	Facility		$464.00	$4,420.00	$15,877.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,402.41	Facility		$66.00	$100.00	$5,402.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $413.53 / $720.00	Professional		$200.67	$413.53	$720.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.92 / $516.57 / $834.07	Professional		$356.92	$516.57	$834.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $1,774.32 / $12,000.00	Facility		$1,622.00	$1,774.32	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.82 / $505.60 / $710.23	Facility		$340.82	$505.60	$710.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00