Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,713.00	Facility		$344.00	$4,848.00	$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 $62.92 / $79.81 / $555.88	Professional		$62.92	$79.81	$555.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $228.08 / $539.65	Professional		$57.61	$228.08	$539.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $334.90 / $513.74 / $12,000.00	Facility		$334.90	$513.74	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $223.86 / $519.86	Facility		$67.45	$223.86	$519.86
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