Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.05 / $9,665.00 / $22,788.00	Facility		$831.05	$9,665.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,303.00 / $16,460.00	Facility		$2,402.00	$7,303.00	$16,460.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $506.50 / $1,202.99	Professional		$334.70	$506.50	$1,202.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.32 / $1,009.84 / $1,827.00	Professional		$773.32	$1,009.84	$1,827.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,579.16 / $6,710.83	Facility		$55.00	$6,579.16	$6,710.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $1,002.02 / $1,437.90	Facility		$744.00	$1,002.02	$1,437.90
United Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $4,675.00 / $20,279.00	Facility		$660.00	$4,675.00	$20,279.00