Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.72 / $4,848.00 / $16,125.00	Facility		$283.72	$4,848.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $112.70 / $112.70	Facility		$112.70	$112.70	$112.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $204.39 / $321.92	Professional		$72.30	$204.39	$321.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $165.87 / $321.92	Professional		$65.06	$165.87	$321.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $556.30 / $800.18	Facility		$55.00	$556.30	$800.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $162.53 / $381.70	Facility		$66.38	$162.53	$381.70
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00