Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.61 / $4,932.00 / $16,573.00	Facility		$621.61	$4,932.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.43 / $257.43 / $257.43	Facility		$257.43	$257.43	$257.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $204.61 / $902.33	Professional		$151.56	$204.61	$902.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $406.16 / $890.17	Professional		$141.35	$406.16	$890.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,002.54 / $1,022.40	Facility		$55.00	$1,002.54	$1,022.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.54 / $326.70 / $885.20	Facility		$166.54	$326.70	$885.20
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,506.00 / $5,691.00	Facility		$548.00	$1,506.00	$5,691.00