Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $6,695.00 / $18,315.16	Facility		$263.02	$6,695.00	$18,315.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,602.09	Facility		$67.90	$100.00	$7,602.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $1,766.05 / $4,716.43	Facility		$520.00	$1,766.05	$4,716.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $195.34 / $474.58	Professional		$104.24	$195.34	$474.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $294.01 / $514.52	Professional		$160.01	$294.01	$514.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,083.90 / $1,104.18 / $26,542.00	Facility		$1,083.90	$1,104.18	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.01 / $261.94 / $443.75	Facility		$160.01	$261.94	$443.75
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,811.00 / $9,072.00	Facility		$705.00	$3,811.00	$9,072.00