Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $8,934.00 / $20,135.00	Facility		$873.00	$8,934.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
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 $621.00 / $717.11 / $968.10	Professional		$621.00	$717.11	$968.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.37 / $817.58 / $1,487.96	Professional		$601.37	$817.58	$1,487.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,666.90 / $3,755.90	Facility		$55.00	$3,666.90	$3,755.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.65 / $852.38 / $1,230.00	Facility		$668.65	$852.38	$1,230.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00