Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,863.00 / $11,400.00	Facility		$2,160.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $164.75 / $428.90	Professional		$109.83	$164.75	$428.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $243.99 / $428.90	Professional		$117.59	$243.99	$428.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $534.36 / $577.84	Facility		$55.00	$534.36	$577.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.25 / $240.72 / $417.38	Facility		$121.25	$240.72	$417.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $8,345.00	Facility		$1,410.00	$2,761.00	$8,345.00