Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.14 / $5,505.00 / $16,713.00	Facility		$543.14	$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 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
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 $253.16 / $473.85 / $887.65	Professional		$253.16	$473.85	$887.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.38 / $581.54 / $1,004.90	Professional		$373.38	$581.54	$1,004.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,732.32 / $1,855.30 / $16,394.00	Facility		$1,732.32	$1,855.30	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.16 / $597.52 / $850.19	Facility		$439.16	$597.52	$850.19
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