Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.12 / $5,740.00 / $17,030.00	Facility		$947.12	$5,740.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $492.93 / $807.25 / $1,355.60	Professional		$492.93	$807.25	$1,355.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.86 / $953.10 / $1,687.88	Professional		$641.86	$953.10	$1,687.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,335.00 / $4,462.32 / $16,394.00	Facility		$4,335.00	$4,462.32	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.99 / $898.23 / $1,377.09	Facility		$654.99	$898.23	$1,377.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00