Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.26 / $5,505.00 / $16,713.00	Facility		$499.26	$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 / $7,159.08	Facility		$66.00	$100.00	$7,159.08
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 $231.94 / $427.33 / $780.65	Professional		$231.94	$427.33	$780.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.83 / $507.96 / $876.39	Professional		$305.83	$507.96	$876.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.92 / $1,524.89 / $16,394.00	Facility		$1,397.92	$1,524.89	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.55 / $508.14 / $759.54	Facility		$360.55	$508.14	$759.54
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