Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.41 / $4,950.00 / $17,328.00	Facility		$591.41	$4,950.00	$17,328.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$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 $378.82 / $888.30 / $2,226.34	Facility		$378.82	$888.30	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $245.99 / $332.09 / $722.47	Professional		$245.99	$332.09	$722.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $441.12 / $778.30	Professional		$222.01	$441.12	$778.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,263.90 / $1,296.70 / $12,000.00	Facility		$1,263.90	$1,296.70	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.91 / $449.94 / $745.17	Facility		$250.91	$449.94	$745.17
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