Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.54 / $5,178.00 / $17,380.00	Facility		$500.54	$5,178.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,403.01	Facility		$67.90	$100.00	$5,403.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $3,461.93 / $9,842.49	Facility		$400.00	$3,461.93	$9,842.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $245.72 / $462.30 / $784.86	Professional		$245.72	$462.30	$784.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.27 / $511.34 / $894.85	Professional		$356.27	$511.34	$894.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,390.82 / $2,435.52 / $12,000.00	Facility		$2,390.82	$2,435.52	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.24 / $484.19 / $763.65	Facility		$322.24	$484.19	$763.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,274.00 / $15,471.00	Facility		$2,181.00	$7,274.00	$15,471.00