Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,823.00 / $17,902.00	Facility		$934.95	$5,823.00	$17,902.00
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 / $730.77 / $1,721.63	Facility		$339.00	$730.77	$1,721.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $137.07 / $235.92	Professional		$124.61	$137.07	$235.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $138.66 / $287.45	Professional		$105.40	$138.66	$287.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $520.15 / $2,776.25 / $12,000.00	Facility		$520.15	$2,776.25	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.20 / $155.76 / $273.00	Facility		$116.20	$155.76	$273.00
United Facility/Professional Facility Modifier Low / Median / High Price $833.75 / $3,928.00 / $9,131.00	Facility		$833.75	$3,928.00	$9,131.00