Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.51 / $4,969.00 / $17,013.00	Facility		$422.51	$4,969.00	$17,013.00
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 / $730.77 / $1,721.63	Facility		$339.00	$730.77	$1,721.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $134.87 / $534.54	Professional		$99.90	$134.87	$534.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $283.31 / $579.96	Professional		$88.69	$283.31	$579.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $503.35 / $569.88 / $12,000.00	Facility		$503.35	$569.88	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $299.79 / $555.30	Facility		$104.10	$299.79	$555.30
United Facility/Professional Facility Modifier Low / Median / High Price $833.75 / $3,964.00 / $9,131.00	Facility		$833.75	$3,964.00	$9,131.00