Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $5,576.00 / $17,030.00	Facility		$482.50	$5,576.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $239.48 / $647.29	Professional		$168.65	$239.48	$647.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $410.11 / $742.90	Professional		$181.31	$410.11	$742.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $837.76 / $883.31 / $16,394.00	Facility		$837.76	$883.31	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.49 / $345.00 / $706.57	Facility		$203.49	$345.00	$706.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00