Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.96 / $9,674.00 / $22,788.00	Facility		$975.96	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $6,264.00 / $14,341.00	Facility		$2,137.00	$6,264.00	$14,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $552.87 / $836.65 / $1,367.24	Professional		$552.87	$836.65	$1,367.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.12 / $1,163.75 / $2,050.85	Professional		$893.12	$1,163.75	$2,050.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,807.68 / $9,032.71	Facility		$55.00	$8,807.68	$9,032.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $931.00 / $1,200.02 / $1,851.63	Facility		$931.00	$1,200.02	$1,851.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00