Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,344.83 / $15,747.00	Facility		$411.00	$4,344.83	$15,747.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $12,615.00	Facility		$2,143.00	$5,944.00	$12,615.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.91 / $798.91 / $944.16	Facility		$798.91	$798.91	$944.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $99.50 / $886.66	Professional		$57.33	$99.50	$886.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $111.86 / $211.55	Professional		$89.55	$111.86	$211.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $432.55 / $3,586.95 / $12,000.00	Facility		$432.55	$3,586.95	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $144.28 / $446.23	Facility		$93.70	$144.28	$446.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,753.00 / $11,305.00	Facility		$1,371.00	$2,753.00	$11,305.00