Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.47 / $4,848.00 / $16,573.00	Facility		$455.47	$4,848.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.53	Facility		$66.00	$100.00	$5,487.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $2,360.35 / $4,227.49	Facility		$1,487.00	$2,360.35	$4,227.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $373.91 / $737.19	Professional		$280.70	$373.91	$737.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $465.84 / $819.11	Professional		$268.38	$465.84	$819.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,765.32 / $1,799.58 / $12,000.00	Facility		$1,765.32	$1,799.58	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.23 / $406.82 / $689.40	Facility		$255.23	$406.82	$689.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,335.00 / $14,743.00	Facility		$3,610.00	$7,335.00	$14,743.00