Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.24 / $9,674.00 / $22,788.00	Facility		$771.24	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,116.18	Professional		$421.82	$638.33	$1,116.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.87 / $940.51 / $1,747.00	Professional		$720.87	$940.51	$1,747.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,038.40 / $7,221.44	Facility		$55.00	$7,038.40	$7,221.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $750.03 / $961.16 / $1,440.98	Facility		$750.03	$961.16	$1,440.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $4,675.00 / $20,279.00	Facility		$1,170.00	$4,675.00	$20,279.00