Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $6,136.84 / $17,133.00	Facility		$438.00	$6,136.84	$17,133.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.49 / $766.00 / $1,881.00	Facility		$470.49	$766.00	$1,881.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $245.54 / $680.59	Professional		$153.46	$245.54	$680.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $377.11 / $706.12	Professional		$138.11	$377.11	$706.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $934.14 / $960.78 / $16,394.00	Facility		$934.14	$960.78	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.62 / $361.32 / $650.80	Facility		$160.62	$361.32	$650.80
United Facility/Professional Facility Modifier Low / Median / High Price $850.11 / $3,964.00 / $9,131.00	Facility		$850.11	$3,964.00	$9,131.00