Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $5,710.00 / $17,902.00	Facility		$927.00	$5,710.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $4,142.00 / $9,119.00	Facility		$700.00	$4,142.00	$9,119.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $2,151.00 / $5,431.00	Facility		$117.56	$2,151.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $92.25 / $139.06	Professional		$48.77	$92.25	$139.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $122.29 / $262.08	Professional		$92.50	$122.29	$262.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $308.00 / $1,300.00	Facility		$55.00	$308.00	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.39 / $125.65 / $172.29	Facility		$98.39	$125.65	$172.29
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00