Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.11 / $9,639.00 / $20,509.00	Facility		$576.11	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,835.36	Facility		$66.00	$100.00	$5,835.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $586.50 / $791.78	Professional		$372.30	$586.50	$791.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $672.64 / $1,205.32	Professional		$517.54	$672.64	$1,205.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,308.83 / $9,388.90	Facility		$55.00	$3,308.83	$9,388.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.40 / $703.80 / $1,059.30	Facility		$545.40	$703.80	$1,059.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00