Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.71 / $6,229.00 / $17,013.00	Facility		$574.71	$6,229.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $490.16 / $907.19	Professional		$259.12	$490.16	$907.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.72 / $592.90 / $1,024.91	Professional		$372.72	$592.90	$1,024.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.80 / $1,853.12 / $26,542.00	Facility		$1,698.80	$1,853.12	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.29 / $569.65 / $882.48	Facility		$386.29	$569.65	$882.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00