Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.89 / $9,665.00 / $22,788.00	Facility		$887.89	$9,665.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
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 $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $576.32 / $872.15 / $1,256.92	Professional		$576.32	$872.15	$1,256.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.61 / $1,064.54 / $1,956.26	Professional		$817.61	$1,064.54	$1,956.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,033.12 / $8,257.84	Facility		$55.00	$8,033.12	$8,257.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.63 / $1,090.14 / $1,672.36	Facility		$851.63	$1,090.14	$1,672.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00