Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $9,665.00 / $22,788.00	Facility		$163.46	$9,665.00	$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 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.77 / $750.00 / $5,431.00	Facility		$185.77	$750.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $167.33 / $218.28	Professional		$110.57	$167.33	$218.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $190.97 / $399.61	Professional		$144.80	$190.97	$399.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $634.37 / $2,922.50	Facility		$55.00	$634.37	$2,922.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $204.54 / $319.14	Facility		$156.01	$204.54	$319.14
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,448.00 / $6,323.00	Facility		$371.00	$1,448.00	$6,323.00