Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $6,264.00 / $18,620.00	Facility		$873.00	$6,264.00	$18,620.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,835.36	Facility		$66.09	$100.00	$5,835.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,788.45 / $3,295.44 / $7,763.76	Facility		$2,788.45	$3,295.44	$7,763.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $217.96 / $719.28 / $1,250.00	Professional		$217.96	$719.28	$1,250.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.61 / $691.83 / $1,411.71	Professional		$199.61	$691.83	$1,411.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,596.35 / $1,635.97	Facility		$55.00	$1,596.35	$1,635.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.62 / $766.60 / $1,335.87	Facility		$232.62	$766.60	$1,335.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00