Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $21,960.90	Facility		$873.00	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $7,079.00 / $16,838.00	Facility		$2,399.48	$7,079.00	$16,838.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $266.14 / $292.75 / $399.29	Professional		$266.14	$292.75	$399.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.22 / $319.37 / $576.25	Professional		$230.22	$319.37	$576.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,376.38 / $4,018.70 / $5,000.00	Facility		$3,376.38	$4,018.70	$5,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.08 / $325.49 / $517.38	Facility		$265.08	$325.49	$517.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00