Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.92 / $5,505.00 / $16,973.00	Facility		$622.92	$5,505.00	$16,973.00
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 $207.63 / $207.63 / $207.63	Facility		$207.63	$207.63	$207.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $153.22 / $944.46	Professional		$111.69	$153.22	$944.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $391.61 / $921.92	Professional		$116.56	$391.61	$921.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $989.72 / $989.72	Facility		$55.00	$989.72	$989.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $274.33 / $914.74	Facility		$137.59	$274.33	$914.74
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