Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,010.85 / $16,320.00	Facility		$490.00	$5,010.85	$16,320.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,182.65 / $2,786.23	Facility		$1,000.71	$1,182.65	$2,786.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $241.69 / $561.22	Professional		$167.79	$241.69	$561.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $353.53 / $621.91	Professional		$153.38	$353.53	$621.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.71 / $1,256.57 / $16,394.00	Facility		$1,221.71	$1,256.57	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.78 / $341.05 / $567.15	Facility		$178.78	$341.05	$567.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00