Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.81 / $9,665.00 / $22,788.00	Facility		$473.81	$9,665.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $5,106.00 / $13,517.23	Facility		$1,615.00	$5,106.00	$13,517.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,487.90	Facility		$66.70	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.18 / $750.00 / $5,431.00	Facility		$475.18	$750.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $335.81 / $496.38 / $645.29	Professional		$335.81	$496.38	$645.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.78 / $532.05 / $933.19	Professional		$404.78	$532.05	$933.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,897.22 / $2,978.04	Facility		$55.00	$2,897.22	$2,978.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.81 / $532.05 / $771.00	Facility		$383.81	$532.05	$771.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,166.00 / $7,274.00 / $15,471.00	Facility		$2,166.00	$7,274.00	$15,471.00