Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.82 / $5,076.00 / $17,380.00	Facility		$341.82	$5,076.00	$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 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,091.68 / $2,915.45	Facility		$339.00	$1,091.68	$2,915.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $184.18 / $610.21	Professional		$115.11	$184.18	$610.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $325.67 / $633.26	Professional		$102.36	$325.67	$633.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $696.72 / $716.46 / $12,000.00	Facility		$696.72	$716.46	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $283.80 / $561.54	Facility		$116.18	$283.80	$561.54
United Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $3,518.00 / $8,197.00	Facility		$580.00	$3,518.00	$8,197.00