Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.43 / $5,165.00 / $17,328.00	Facility		$498.43	$5,165.00	$17,328.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $577.47 / $4,970.60	Facility		$67.90	$577.47	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.36 / $766.00 / $1,770.60	Facility		$597.36	$766.00	$1,770.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $339.17 / $744.53	Professional		$104.52	$339.17	$744.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $425.14 / $860.25	Professional		$94.18	$425.14	$860.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $859.46 / $859.46	Facility		$55.00	$859.46	$859.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.46 / $384.95 / $787.82	Facility		$98.46	$384.95	$787.82
United Facility/Professional Facility Modifier Low / Median / High Price $850.11 / $3,964.00 / $9,131.00	Facility		$850.11	$3,964.00	$9,131.00