Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.53 / $4,932.00 / $16,713.00	Facility		$479.53	$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 / $5,553.14	Facility		$66.00	$100.00	$5,553.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,038.17 / $7,136.02 / $16,811.84	Facility		$6,038.17	$7,136.02	$16,811.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $336.19 / $423.96 / $621.76	Professional		$336.19	$423.96	$621.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.28 / $463.25 / $835.00	Professional		$336.28	$463.25	$835.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,074.88 / $3,139.84 / $12,000.00	Facility		$3,074.88	$3,139.84	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.23 / $534.47 / $961.18	Facility		$393.23	$534.47	$961.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,213.00 / $9,131.00	Facility		$2,048.00	$4,213.00	$9,131.00