Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.62 / $9,674.00 / $22,788.00	Facility		$377.62	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.18 / $750.00 / $5,431.00	Facility		$434.18	$750.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.23 / $431.45 / $529.51	Professional		$392.23	$431.45	$529.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.17 / $444.06 / $829.07	Professional		$339.17	$444.06	$829.07
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $920.98 / $1,790.04	Facility		$55.00	$920.98	$1,790.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $460.81 / $713.00	Facility		$357.02	$460.81	$713.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $145.05 / $145.05 / $145.05	Facility	80	$145.05	$145.05	$145.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00