Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.63 / $5,505.00 / $17,030.00	Facility		$790.63	$5,505.00	$17,030.00
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 / $7,343.60	Facility		$66.00	$100.00	$7,343.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,738.49 / $4,904.76	Facility		$1,992.00	$2,738.49	$4,904.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $817.55 / $1,275.39	Professional		$446.76	$817.55	$1,275.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.57 / $911.71 / $1,576.88	Professional		$644.57	$911.71	$1,576.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,336.92 / $4,411.74 / $16,394.00	Facility		$4,336.92	$4,411.74	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $716.76 / $936.96 / $1,284.83	Facility		$716.76	$936.96	$1,284.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00