Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $6,537.00 / $17,730.00	Facility		$655.00	$6,537.00	$17,730.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,343.54	Facility		$66.00	$100.00	$8,343.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $548.12 / $932.94	Professional		$278.48	$548.12	$932.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.30 / $637.77 / $1,072.82	Professional		$431.30	$637.77	$1,072.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,948.80 / $2,141.44 / $26,542.00	Facility		$1,948.80	$2,141.44	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.98 / $647.78 / $921.03	Facility		$493.98	$647.78	$921.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,749.16 / $9,713.00 / $21,278.00	Facility		$4,749.16	$9,713.00	$21,278.00