Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.61 / $5,206.00 / $17,328.00	Facility		$462.61	$5,206.00	$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 $351.29 / $888.30 / $2,226.34	Facility		$351.29	$888.30	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $355.55 / $762.49	Professional		$88.06	$355.55	$762.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $391.00 / $808.05	Professional		$77.79	$391.00	$808.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $805.05 / $805.05 / $12,000.00	Facility		$805.05	$805.05	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $288.32 / $741.23	Facility		$91.28	$288.32	$741.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,786.00 / $9,072.00	Facility		$1,089.45	$3,786.00	$9,072.00