Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.94 / $4,932.00 / $16,713.00	Facility		$440.94	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
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 $182.43 / $345.09 / $528.36	Professional		$182.43	$345.09	$528.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.20 / $423.43 / $765.67	Professional		$302.20	$423.43	$765.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,417.38 / $2,473.31 / $12,000.00	Facility		$2,417.38	$2,473.31	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.30 / $447.34 / $640.34	Facility		$310.30	$447.34	$640.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,699.00 / $7,655.00	Facility		$1,046.00	$2,699.00	$7,655.00