Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.01 / $5,165.00 / $17,380.00	Facility		$512.01	$5,165.00	$17,380.00
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 $215.95 / $291.52 / $642.25	Professional		$215.95	$291.52	$642.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $393.07 / $678.62	Professional		$197.09	$393.07	$678.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,146.70 / $12,000.00	Facility		$1,120.00	$1,146.70	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.40 / $403.58 / $681.31	Facility		$220.40	$403.58	$681.31
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