Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.21 / $9,674.00 / $22,788.00	Facility		$569.21	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $9,043.00 / $19,398.00	Facility		$1,700.00	$9,043.00	$19,398.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,182.43	Facility		$67.90	$100.00	$7,182.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,461.93 / $9,842.49	Facility		$633.00	$3,461.93	$9,842.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $625.46 / $985.95	Professional		$521.22	$625.46	$985.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.47 / $655.16 / $1,174.82	Professional		$499.47	$655.16	$1,174.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,442.95 / $16,547.20	Facility		$55.00	$14,442.95	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.70 / $695.67 / $1,204.45	Facility		$520.70	$695.67	$1,204.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,056.00 / $26,109.00	Facility		$2,673.00	$11,056.00	$26,109.00