Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.05 / $5,002.00 / $17,328.00	Facility		$346.05	$5,002.00	$17,328.00
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 / $2,135.46	Facility		$339.00	$888.30	$2,135.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $129.34 / $455.38	Professional		$93.82	$129.34	$455.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $273.87 / $494.17	Professional		$104.67	$273.87	$494.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $593.70 / $610.50 / $12,000.00	Facility		$593.70	$610.50	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $248.79 / $450.68	Facility		$109.16	$248.79	$450.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,928.00 / $9,131.00	Facility		$1,089.45	$3,928.00	$9,131.00