Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.29 / $5,505.00 / $16,713.00	Facility		$620.29	$5,505.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $447.66 / $879.05	Professional		$286.67	$447.66	$879.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.76 / $567.80 / $1,011.00	Professional		$350.76	$567.80	$1,011.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,622.48 / $1,746.72 / $16,394.00	Facility		$1,622.48	$1,746.72	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.30 / $590.09 / $882.95	Facility		$413.30	$590.09	$882.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,359.00 / $15,471.00	Facility		$3,800.00	$7,359.00	$15,471.00