Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,623.41 / $16,595.87	Facility		$912.01	$5,623.41	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $1,778.28	Facility		$66.07	$239.88	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $229.09	Professional		$89.13	$131.83	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $288.40	Professional		$104.71	$162.18	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	54	$407.38	$407.38	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $234.42	Facility		$95.50	$144.54	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54