Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.01 / $5,505.00 / $16,713.00	Facility		$625.01	$5,505.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
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 $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $558.21 / $1,055.00	Professional		$220.03	$558.21	$1,055.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.93 / $691.30 / $1,211.29	Professional		$441.93	$691.30	$1,211.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,003.08 / $2,188.46 / $16,394.00	Facility		$2,003.08	$2,188.46	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.63 / $634.33 / $986.40	Facility		$393.63	$634.33	$986.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00