Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.74 / $5,178.00 / $17,380.00	Facility		$355.74	$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 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $1,091.68 / $3,039.51	Facility		$351.29	$1,091.68	$3,039.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $209.60 / $443.72	Professional		$116.17	$209.60	$443.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $242.78 / $464.63	Professional		$103.36	$242.78	$464.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $703.08 / $720.66 / $12,000.00	Facility		$703.08	$720.66	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.07 / $258.76 / $458.44	Facility		$121.07	$258.76	$458.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00