Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $4,932.00 / $17,054.00	Facility		$464.00	$4,932.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
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 / $888.30 / $2,226.34	Facility		$339.00	$888.30	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $228.18 / $691.35	Professional		$180.94	$228.18	$691.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $398.13 / $733.44	Professional		$169.86	$398.13	$733.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $965.80 / $989.00 / $12,000.00	Facility		$965.80	$989.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.99 / $392.60 / $691.35	Facility		$189.99	$392.60	$691.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00