Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,812.00 / $17,902.00	Facility		$934.95	$5,812.00	$17,902.00
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 $156.46 / $177.21 / $335.22	Professional		$156.46	$177.21	$335.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $172.11 / $315.83	Professional		$130.31	$172.11	$315.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $766.50 / $4,901.45 / $12,000.00	Facility		$766.50	$4,901.45	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.49 / $208.88 / $403.02	Facility		$144.49	$208.88	$403.02
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