Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $6,505.00 / $18,483.00	Facility		$783.00	$6,505.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,208.00 / $5,803.00 / $11,233.00	Facility		$1,208.00	$5,803.00	$11,233.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $994.01 / $2,491.26	Facility		$633.00	$994.01	$2,491.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $217.67 / $594.94 / $1,128.16	Professional		$217.67	$594.94	$1,128.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $681.34 / $1,323.00	Professional		$200.56	$681.34	$1,323.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,613.22 / $1,644.23	Facility		$55.00	$1,613.22	$1,644.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.23 / $639.49 / $1,211.26	Facility		$213.23	$639.49	$1,211.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,234.60 / $3,964.00 / $9,131.00	Facility		$1,234.60	$3,964.00	$9,131.00