Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.29 / $5,740.00 / $17,030.00	Facility		$593.29	$5,740.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $11,400.00	Facility		$1,787.00	$4,814.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.53	Facility		$66.00	$100.00	$5,487.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,536.17 / $2,536.17 / $2,997.30	Facility		$2,536.17	$2,536.17	$2,997.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $263.83 / $684.72	Professional		$147.06	$263.83	$684.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.27 / $416.22 / $683.41	Professional		$199.27	$416.22	$683.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,127.40 / $1,168.70 / $16,394.00	Facility		$1,127.40	$1,168.70	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $420.59 / $830.06	Facility		$231.00	$420.59	$830.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,908.00 / $23,219.00	Facility		$5,116.00	$9,908.00	$23,219.00