Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.75 / $3,340.00 / $15,572.00	Facility		$489.75	$3,340.00	$15,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,809.99	Facility		$66.00	$100.00	$5,809.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $185.32 / $436.61	Facility		$156.81	$185.32	$436.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $147.22 / $176.68	Professional		$59.20	$147.22	$176.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.62 / $176.20 / $314.62	Professional		$135.62	$176.20	$314.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $327.85 / $1,315.00	Facility		$55.00	$327.85	$1,315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $166.15 / $226.92	Facility		$133.93	$166.15	$226.92
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,501.00 / $7,317.00	Facility		$466.00	$1,501.00	$7,317.00