Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.49 / $5,165.00 / $17,380.00	Facility		$430.49	$5,165.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,367.09	Facility		$67.90	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,654.75 / $4,704.56	Facility		$400.00	$1,654.75	$4,704.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.91 / $346.03 / $675.62	Professional		$218.91	$346.03	$675.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.52 / $429.90 / $751.28	Professional		$270.52	$429.90	$751.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.92 / $1,824.36 / $12,000.00	Facility		$1,819.92	$1,824.36	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.52 / $401.38 / $637.77	Facility		$270.52	$401.38	$637.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00