Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.50 / $9,665.00 / $22,788.00	Facility		$749.50	$9,665.00	$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 $483.99 / $732.42 / $1,069.08	Professional		$483.99	$732.42	$1,069.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.93 / $903.68 / $1,653.87	Professional		$692.93	$903.68	$1,653.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,790.88 / $6,938.56	Facility		$55.00	$6,790.88	$6,938.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $721.91 / $931.58 / $1,327.53	Facility		$721.91	$931.58	$1,327.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00