Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.70 / $5,545.00 / $18,293.00	Facility		$884.70	$5,545.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,418.00 / $9,274.00	Facility		$1,723.00	$4,418.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $114.56 / $154.66	Professional		$83.77	$114.56	$154.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $136.51 / $263.49	Professional		$98.94	$136.51	$263.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $3,000.00 / $4,777.50	Facility		$263.52	$3,000.00	$4,777.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.37 / $138.72 / $210.88	Facility		$114.37	$138.72	$210.88
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00