Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.63 / $5,206.00 / $17,380.00	Facility		$629.63	$5,206.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.12 / $367.78 / $6,993.00	Facility		$216.12	$367.78	$6,993.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $1,852.64	Facility		$67.90	$100.00	$1,852.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.98 / $634.67 / $1,881.00	Facility		$394.98	$634.67	$1,881.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $453.09 / $723.41	Professional		$204.89	$453.09	$723.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $471.25 / $867.00	Professional		$184.18	$471.25	$867.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,685.44 / $1,706.24	Facility		$55.00	$1,685.44	$1,706.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.48 / $447.67 / $793.52	Facility		$190.48	$447.67	$793.52
United Facility/Professional Facility Modifier Low / Median / High Price $751.83 / $3,928.00 / $9,131.00	Facility		$751.83	$3,928.00	$9,131.00