Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.55 / $5,178.00 / $17,538.00	Facility		$641.55	$5,178.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.26 / $900.00 / $2,389.58	Facility		$399.26	$900.00	$2,389.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $254.16 / $397.65 / $838.22	Professional		$254.16	$397.65	$838.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $510.52 / $886.31	Professional		$231.23	$510.52	$886.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.70 / $1,353.40 / $12,000.00	Facility		$1,325.70	$1,353.40	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.46 / $464.90 / $830.65	Facility		$239.46	$464.90	$830.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,234.60 / $3,928.00 / $9,131.00	Facility		$1,234.60	$3,928.00	$9,131.00