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 $4,446.00 / $11,289.00 / $26,404.93	Facility		$4,446.00	$11,289.00	$26,404.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,613.98	Facility		$63.90	$100.00	$13,613.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $287.33 / $417.66	Professional		$189.87	$287.33	$417.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.91 / $402.95 / $737.53	Professional		$292.91	$402.95	$737.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $698.86 / $1,541.76 / $5,000.00	Facility		$698.86	$1,541.76	$5,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $393.07 / $535.55	Facility		$324.58	$393.07	$535.55
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