Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.43 / $5,165.00 / $17,380.00	Facility		$505.43	$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 $253.16 / $458.60 / $781.57	Professional		$253.16	$458.60	$781.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.51 / $509.19 / $891.08	Professional		$353.51	$509.19	$891.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,373.06 / $2,422.50 / $12,000.00	Facility		$2,373.06	$2,422.50	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.35 / $482.62 / $760.46	Facility		$348.35	$482.62	$760.46
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