Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $5,815.00 / $17,701.00	Facility		$280.27	$5,815.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $665.00 / $1,025.00	Facility		$445.00	$665.00	$1,025.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $181.54 / $428.26	Professional		$74.83	$181.54	$428.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $292.97 / $530.89	Professional		$157.91	$292.97	$530.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.90 / $1,081.85 / $16,394.00	Facility		$1,059.90	$1,081.85	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.83 / $234.37 / $441.86	Facility		$138.83	$234.37	$441.86
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $1,358.00 / $5,830.00	Facility		$140.00	$1,358.00	$5,830.00