Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.98 / $5,165.00 / $17,380.00	Facility		$563.98	$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 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $900.00 / $2,217.85	Facility		$400.00	$900.00	$2,217.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $531.69 / $879.93	Professional		$306.77	$531.69	$879.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.67 / $575.94 / $1,007.90	Professional		$412.67	$575.94	$1,007.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,776.56 / $2,822.52 / $12,000.00	Facility		$2,776.56	$2,822.52	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $554.59 / $864.28	Facility		$389.00	$554.59	$864.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,067.58 / $3,964.00 / $9,131.00	Facility		$1,067.58	$3,964.00	$9,131.00