Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.23 / $5,505.00 / $16,713.00	Facility		$468.23	$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 / $7,172.80	Facility		$66.00	$100.00	$7,172.80
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 $158.97 / $384.30 / $883.71	Professional		$158.97	$384.30	$883.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $548.37 / $979.81	Professional		$299.70	$548.37	$979.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,314.24 / $1,469.27 / $16,394.00	Facility		$1,314.24	$1,469.27	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.08 / $461.36 / $800.64	Facility		$274.08	$461.36	$800.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $14,743.00	Facility		$3,523.00	$7,359.00	$14,743.00