Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.59 / $6,695.00 / $22,788.00	Facility		$234.59	$6,695.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $4,343.00 / $20,146.00	Facility		$700.00	$4,343.00	$20,146.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,408.19 / $6,608.48	Facility		$92.60	$1,408.19	$6,608.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $1,404.00 / $5,685.39	Facility		$257.89	$1,404.00	$5,685.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $261.73 / $392.60	Professional		$233.70	$261.73	$392.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $250.94 / $623.98	Professional		$199.57	$250.94	$623.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,465.03 / $9,558.29 / $9,558.29	Facility		$1,465.03	$9,558.29	$9,558.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.57 / $286.92 / $559.52	Facility		$222.57	$286.92	$559.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $10,457.00 / $31,150.00	Facility		$1,600.00	$10,457.00	$31,150.00