Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,823.00 / $17,380.00	Facility		$490.00	$5,823.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $14,341.00	Facility		$2,143.00	$5,977.00	$14,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,109.29	Facility		$66.00	$100.00	$9,109.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,128.00 / $38,633.30 / $50,000.00	Facility		$28,128.00	$38,633.30	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $396.19 / $666.31	Professional		$135.13	$396.19	$666.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $446.90 / $775.99	Professional		$295.95	$446.90	$775.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,016.24 / $2,064.36 / $22,000.00	Facility		$2,016.24	$2,064.36	$22,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $397.70 / $616.95	Facility		$215.91	$397.70	$616.95
United Facility/Professional Facility Modifier Low / Median / High Price $10,611.00 / $20,676.00 / $54,484.00	Facility		$10,611.00	$20,676.00	$54,484.00