Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.78 / $4,704.00 / $16,125.00	Facility		$650.78	$4,704.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,544.00 / $9,274.00	Facility		$1,988.00	$4,544.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $258.85 / $258.85	Facility		$258.85	$258.85	$258.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $475.05 / $1,079.27	Professional		$167.88	$475.05	$1,079.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.15 / $515.72 / $1,050.60	Professional		$151.15	$515.72	$1,050.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,121.25 / $1,121.25	Facility		$55.00	$1,121.25	$1,121.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.78 / $427.18 / $1,012.82	Facility		$161.78	$427.18	$1,012.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $8,345.00	Facility		$1,410.00	$2,761.00	$8,345.00