Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
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 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $497.00 / $819.40	Professional		$269.17	$497.00	$819.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $564.78 / $963.00	Professional		$392.14	$564.78	$963.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,626.68 / $2,681.52 / $16,394.00	Facility		$2,626.68	$2,681.52	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.98 / $544.50 / $794.24	Facility		$399.98	$544.50	$794.24
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