Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.08 / $4,932.00 / $16,713.00	Facility		$443.08	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,966.67	Facility		$66.00	$100.00	$5,966.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $428.55 / $700.39	Professional		$207.37	$428.55	$700.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.39 / $498.33 / $901.78	Professional		$338.39	$498.33	$901.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,662.66 / $2,745.19 / $12,000.00	Facility		$2,662.66	$2,745.19	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $511.28 / $729.09	Facility		$377.91	$511.28	$729.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00