Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$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 / $5,349.65	Facility		$66.00	$100.00	$5,349.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $1,464.75 / $3,450.83	Facility		$1,239.41	$1,464.75	$3,450.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $127.19 / $226.11	Professional		$65.90	$127.19	$226.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $154.22 / $265.74	Professional		$99.25	$154.22	$265.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $463.24 / $495.00 / $12,000.00	Facility		$463.24	$495.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $154.15 / $244.63	Facility		$100.17	$154.15	$244.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00