Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.05 / $5,178.00 / $17,380.00	Facility		$350.05	$5,178.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
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 / $730.77 / $1,721.63	Facility		$339.00	$730.77	$1,721.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $127.34 / $542.42	Professional		$105.14	$127.34	$542.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $300.87 / $611.63	Professional		$93.89	$300.87	$611.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $531.85 / $593.04 / $12,000.00	Facility		$531.85	$593.04	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.60 / $246.92 / $521.55	Facility		$103.60	$246.92	$521.55
United Facility/Professional Facility Modifier Low / Median / High Price $833.75 / $2,546.00 / $7,655.00	Facility		$833.75	$2,546.00	$7,655.00