Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.80 / $4,848.00 / $16,573.00	Facility		$372.80	$4,848.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $264.70 / $552.10	Professional		$176.47	$264.70	$552.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $336.78 / $646.24	Professional		$191.16	$336.78	$646.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $843.20 / $931.19 / $12,000.00	Facility		$843.20	$931.19	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $336.78 / $583.15	Facility		$207.04	$336.78	$583.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00