Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.60 / $9,674.00 / $22,788.00	Facility		$248.60	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,303.00 / $16,460.00	Facility		$2,402.00	$7,303.00	$16,460.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $750.00 / $5,431.00	Facility		$298.02	$750.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $273.62 / $369.39	Professional		$206.63	$273.62	$369.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $308.64 / $638.07	Professional		$234.77	$308.64	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,240.54 / $1,300.00	Facility		$55.00	$1,240.54	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.60 / $329.40 / $572.34	Facility		$248.60	$329.40	$572.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00