Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.16 / $4,932.00 / $16,713.00	Facility		$452.16	$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 / $5,609.24	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 $342.12 / $493.47 / $748.88	Professional		$342.12	$493.47	$748.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $434.73 / $720.43	Professional		$310.52	$434.73	$720.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,485.21 / $2,555.63 / $12,000.00	Facility		$2,485.21	$2,555.63	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $341.55 / $491.33 / $1,076.39	Facility		$341.55	$491.33	$1,076.39
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