Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $5,505.00 / $16,713.00	Facility		$409.75	$5,505.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,177.85	Facility		$64.40	$100.00	$5,177.85
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 $79.04 / $106.70 / $542.88	Professional		$79.04	$106.70	$542.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $311.68 / $651.45	Professional		$73.77	$311.68	$651.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $611.11 / $611.11	Facility		$55.00	$611.11	$611.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $205.38 / $543.04	Facility		$86.35	$205.38	$543.04
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00