Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,679.00 / $17,380.00	Facility		$490.00	$5,679.00	$17,380.00
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 $188.88 / $250.19 / $460.95	Professional		$188.88	$250.19	$460.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $298.98 / $537.25	Professional		$171.94	$298.98	$537.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.89 / $1,409.87 / $16,394.00	Facility		$1,373.89	$1,409.87	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.80 / $327.90 / $564.71	Facility		$202.80	$327.90	$564.71
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