Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.12 / $5,980.00 / $17,902.00	Facility		$523.12	$5,980.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,944.00 / $13,697.00	Facility		$1,196.00	$5,944.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,100.20	Facility		$67.90	$100.00	$7,100.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $3,461.93 / $10,261.32	Facility		$535.00	$3,461.93	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $480.70 / $785.75	Professional		$231.94	$480.70	$785.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.84 / $516.19 / $936.29	Professional		$375.84	$516.19	$936.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,526.84 / $2,587.44 / $16,394.00	Facility		$2,526.84	$2,587.44	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.49 / $529.45 / $843.96	Facility		$393.49	$529.45	$843.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,042.00 / $14,743.00	Facility		$1,300.00	$7,042.00	$14,743.00