Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.57 / $5,165.00 / $17,380.00	Facility		$506.57	$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 / $5,591.57	Facility		$67.90	$100.00	$5,591.57
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 $173.49 / $482.70 / $705.79	Professional		$173.49	$482.70	$705.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.91 / $505.31 / $897.23	Professional		$389.91	$505.31	$897.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,648.22 / $2,712.96 / $12,000.00	Facility		$2,648.22	$2,712.96	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.51 / $511.30 / $758.07	Facility		$362.51	$511.30	$758.07
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,811.00 / $9,072.00	Facility		$705.00	$3,811.00	$9,072.00