Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $4,950.00 / $16,713.00	Facility		$304.22	$4,950.00	$16,713.00
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 / $4,979.42	Facility		$67.90	$100.00	$4,979.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $888.30 / $2,226.34	Facility		$447.57	$888.30	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $324.52 / $514.16	Professional		$189.13	$324.52	$514.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $344.17 / $606.69	Professional		$254.94	$344.17	$606.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,712.46 / $1,764.66	Facility		$55.00	$1,712.46	$1,764.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.63 / $357.36 / $548.00	Facility		$252.63	$357.36	$548.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00