Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,785.00 / $9,596.00	Facility		$1,787.00	$4,785.00	$9,596.00
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 $68.59 / $90.61 / $312.58	Professional		$68.59	$90.61	$312.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $168.83 / $312.77	Professional		$63.14	$168.83	$312.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $362.20 / $372.30 / $12,000.00	Facility		$362.20	$372.30	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $186.93 / $410.04	Facility		$73.70	$186.93	$410.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,804.00 / $10,107.00	Facility		$1,410.00	$2,804.00	$10,107.00