Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.16 / $4,932.00 / $16,713.00	Facility		$526.16	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,875.07	Facility		$66.00	$100.00	$5,875.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $558.45 / $812.32	Professional		$372.30	$558.45	$812.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.44 / $613.66 / $1,047.00	Professional		$431.44	$613.66	$1,047.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,899.50 / $2,970.30 / $12,000.00	Facility		$2,899.50	$2,970.30	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.41 / $632.34 / $1,009.93	Facility		$501.41	$632.34	$1,009.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00