Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.51 / $9,639.00 / $20,509.00	Facility		$738.51	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $507.82 / $957.07 / $1,292.04	Professional		$507.82	$957.07	$1,292.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.45 / $1,065.29 / $1,893.34	Professional		$819.45	$1,065.29	$1,893.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,914.08 / $16,547.20	Facility		$55.00	$5,914.08	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.52 / $1,032.73 / $1,779.80	Facility		$805.52	$1,032.73	$1,779.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $16,148.00	Facility		$3,800.00	$7,402.00	$16,148.00