Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.45 / $5,505.00 / $16,713.00	Facility		$544.45	$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 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $669.46 / $925.10	Professional		$237.90	$669.46	$925.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.33 / $705.68 / $1,211.14	Professional		$519.33	$705.68	$1,211.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,941.75 / $3,014.15 / $16,394.00	Facility		$2,941.75	$3,014.15	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.77 / $686.76 / $929.23	Facility		$499.77	$686.76	$929.23
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $5,830.00	Facility		$548.00	$1,523.00	$5,830.00