Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.28 / $4,932.00 / $16,713.00	Facility		$465.28	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
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 $354.58 / $460.95 / $610.16	Professional		$354.58	$460.95	$610.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $448.40 / $811.88	Professional		$322.08	$448.40	$811.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,576.63 / $2,630.18 / $12,000.00	Facility		$2,576.63	$2,630.18	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.61 / $510.08 / $929.46	Facility		$331.61	$510.08	$929.46
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