Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $5,532.00 / $17,538.00	Facility		$885.00	$5,532.00	$17,538.00
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 $84.19 / $114.56 / $515.19	Professional		$84.19	$114.56	$515.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $272.94 / $534.27	Professional		$74.17	$272.94	$534.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $419.45 / $480.95 / $12,000.00	Facility		$419.45	$480.95	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.47 / $132.68 / $501.49	Facility		$79.47	$132.68	$501.49
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