Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.74 / $4,702.00 / $16,713.00	Facility		$609.74	$4,702.00	$16,713.00
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 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $250.19 / $754.21 / $1,018.18	Professional		$250.19	$754.21	$1,018.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.29 / $793.41 / $1,388.27	Professional		$594.29	$793.41	$1,388.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,760.44 / $2,997.39 / $12,000.00	Facility		$2,760.44	$2,997.39	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.03 / $768.66 / $1,027.57	Facility		$567.03	$768.66	$1,027.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,072.00	Facility		$2,090.00	$4,060.00	$9,072.00