Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.30 / $5,002.00 / $17,328.00	Facility		$751.30	$5,002.00	$17,328.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,230.50	Facility		$67.90	$100.00	$7,230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $751.55 / $1,698.33	Facility		$495.00	$751.55	$1,698.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $677.96 / $967.94	Professional		$93.34	$677.96	$967.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $550.63 / $1,111.83	Professional		$85.92	$550.63	$1,111.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,003.98 / $1,003.98	Facility		$55.00	$1,003.98	$1,003.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $578.12 / $1,135.68	Facility		$91.23	$578.12	$1,135.68
United Facility/Professional Facility Modifier Low / Median / High Price $850.11 / $3,928.00 / $9,131.00	Facility		$850.11	$3,928.00	$9,131.00