Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.91 / $5,382.00 / $17,013.00	Facility		$639.91	$5,382.00	$17,013.00
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 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.68 / $1,290.16 / $3,039.51	Facility		$1,091.68	$1,290.16	$3,039.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $143.69 / $1,211.58	Professional		$92.33	$143.69	$1,211.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $545.00 / $1,371.66	Professional		$121.60	$545.00	$1,371.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,190.17 / $1,190.17	Facility		$55.00	$1,190.17	$1,190.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.76 / $539.92 / $1,190.46	Facility		$133.76	$539.92	$1,190.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,130.00 / $11,982.00	Facility		$2,212.00	$4,130.00	$11,982.00