Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.44 / $5,178.00 / $17,380.00	Facility		$427.44	$5,178.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,276.48	Facility		$67.90	$100.00	$9,276.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.30 / $643.00 / $2,151.00	Facility		$336.30	$643.00	$2,151.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $331.97 / $594.59	Professional		$191.73	$331.97	$594.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.37 / $417.31 / $743.24	Professional		$257.37	$417.31	$743.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,730.22 / $2,116.15	Facility		$55.00	$1,730.22	$2,116.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.79 / $396.24 / $622.13	Facility		$264.79	$396.24	$622.13
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00