Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.47 / $5,505.00 / $16,713.00	Facility		$537.47	$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 $205.88 / $443.80 / $823.50	Professional		$205.88	$443.80	$823.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.33 / $544.66 / $934.08	Professional		$350.33	$544.66	$934.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,636.60 / $1,741.35 / $16,394.00	Facility		$1,636.60	$1,741.35	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.83 / $541.62 / $801.22	Facility		$394.83	$541.62	$801.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00