Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.58 / $4,932.00 / $16,713.00	Facility		$421.58	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $329.60 / $504.32	Professional		$174.24	$329.60	$504.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $404.17 / $732.18	Professional		$289.64	$404.17	$732.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,648.08 / $2,705.44 / $12,000.00	Facility		$2,648.08	$2,705.44	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.31 / $432.29 / $647.39	Facility		$316.31	$432.29	$647.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,218.00 / $9,131.00	Facility		$2,048.00	$4,218.00	$9,131.00