Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $6,631.00 / $18,252.00	Facility		$629.00	$6,631.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,697.00	Facility		$2,143.00	$6,048.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.55 / $3,621.74 / $8,532.51	Facility		$3,064.55	$3,621.74	$8,532.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $211.07 / $450.34 / $1,289.36	Professional		$211.07	$450.34	$1,289.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.69 / $564.60 / $1,390.80	Professional		$193.69	$564.60	$1,390.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,550.64 / $1,580.53	Facility		$55.00	$1,550.64	$1,580.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.84 / $438.08 / $1,271.58	Facility		$225.84	$438.08	$1,271.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,758.00 / $22,073.00	Facility		$4,509.00	$9,758.00	$22,073.00