Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
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 / $5,321.49	Facility		$66.00	$100.00	$5,321.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.66 / $311.60 / $734.10	Facility		$263.66	$311.60	$734.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $138.59 / $307.25	Professional		$70.36	$138.59	$307.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $220.98 / $399.65	Professional		$113.39	$220.98	$399.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $887.74 / $907.20 / $12,000.00	Facility		$887.74	$907.20	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $201.58 / $348.93	Facility		$113.39	$201.58	$348.93
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $6,323.00	Facility		$421.00	$1,495.00	$6,323.00