Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.54 / $9,674.00 / $22,788.00	Facility		$411.54	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,465.00 / $10,705.00	Facility		$1,200.00	$4,465.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,553.14	Facility		$67.90	$100.00	$5,553.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $750.00 / $5,998.00	Facility		$367.15	$750.00	$5,998.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $386.63 / $435.22 / $548.85	Professional		$386.63	$435.22	$548.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.82 / $414.40 / $801.00	Professional		$314.82	$414.40	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,041.35 / $8,223.00	Facility		$55.00	$7,041.35	$8,223.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.35 / $477.00 / $771.75	Facility		$343.35	$477.00	$771.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $9,655.00 / $22,073.00	Facility		$2,599.00	$9,655.00	$22,073.00