Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.37 / $5,710.00 / $17,809.00	Facility		$992.37	$5,710.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $751.55 / $1,770.60	Facility		$339.00	$751.55	$1,770.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $89.52 / $346.67	Professional		$66.31	$89.52	$346.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $183.23 / $359.51	Professional		$58.16	$183.23	$359.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $328.10 / $334.15 / $12,000.00	Facility		$328.10	$334.15	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $107.91 / $345.81	Facility		$65.13	$107.91	$345.81
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