Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.57 / $9,639.00 / $20,509.00	Facility		$724.57	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $760.62 / $1,026.83	Professional		$590.47	$760.62	$1,026.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.30 / $871.04 / $1,577.50	Professional		$641.30	$871.04	$1,577.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,715.76 / $4,806.00	Facility		$55.00	$4,715.76	$4,806.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.63 / $915.28 / $1,336.14	Facility		$726.63	$915.28	$1,336.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00