Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.06 / $5,576.00 / $17,030.00	Facility		$658.06	$5,576.00	$17,030.00
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 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
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 $183.04 / $539.67 / $748.20	Professional		$183.04	$539.67	$748.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $434.42 / $799.77	Professional		$166.03	$434.42	$799.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $767.96 / $809.21 / $16,394.00	Facility		$767.96	$809.21	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.10 / $324.00 / $863.49	Facility		$193.10	$324.00	$863.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00