Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.83 / $5,165.00 / $16,713.00	Facility		$542.83	$5,165.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $648.78 / $902.19	Professional		$330.23	$648.78	$902.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.59 / $691.97 / $1,182.13	Professional		$510.59	$691.97	$1,182.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,349.76 / $2,552.32 / $16,394.00	Facility		$2,349.76	$2,552.32	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.25 / $692.41 / $923.21	Facility		$562.25	$692.41	$923.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00