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 / $4,814.00 / $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 / $5,510.42	Facility		$66.00	$100.00	$5,510.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $267.70 / $428.56	Professional		$162.32	$267.70	$428.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $310.08 / $547.58	Professional		$215.42	$310.08	$547.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $999.12 / $1,062.85 / $12,000.00	Facility		$999.12	$1,062.85	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.46 / $306.55 / $478.01	Facility		$181.46	$306.55	$478.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00