Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.11 / $4,941.00 / $17,133.00	Facility		$445.11	$4,941.00	$17,133.00
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 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
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 $340.93 / $443.21 / $598.90	Professional		$340.93	$443.21	$598.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.26 / $432.74 / $784.07	Professional		$309.26	$432.74	$784.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,827.68 / $2,892.80 / $12,000.00	Facility		$2,827.68	$2,892.80	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.96 / $494.35 / $891.60	Facility		$361.96	$494.35	$891.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00