Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $5,980.00 / $17,030.00	Facility		$873.00	$5,980.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,576.00 / $9,381.00	Facility		$1,546.00	$4,576.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,981.41	Facility		$66.09	$100.00	$5,981.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.92 / $1,492.06 / $2,967.64	Facility		$124.92	$1,492.06	$2,967.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $202.27 / $1,233.27	Professional		$126.42	$202.27	$1,233.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $134.96 / $282.00	Professional		$102.93	$134.96	$282.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,354.72 / $4,989.20	Facility		$55.00	$4,354.72	$4,989.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.81 / $137.24 / $204.32	Facility		$103.81	$137.24	$204.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $4,213.00 / $9,131.00	Facility		$2,300.00	$4,213.00	$9,131.00