Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $5,717.00 / $17,902.00	Facility		$885.00	$5,717.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,343.00 / $8,557.00	Facility		$1,516.00	$4,343.00	$8,557.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $100.00 / $1,514.82	Facility		$67.30	$100.00	$1,514.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $650.00 / $900.00	Facility		$24.74	$650.00	$900.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $22.35 / $30.17	Professional		$17.13	$22.35	$30.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $25.34 / $51.41	Professional		$19.22	$25.34	$51.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $69.20 / $320.64	Facility		$53.64	$69.20	$320.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $25.63 / $37.97	Facility		$20.27	$25.63	$37.97
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00