Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,505.00 / $16,713.00	Facility		$490.00	$5,505.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,992.00	Facility		$938.60	$940.26	$1,992.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $204.07 / $573.29	Professional		$118.02	$204.07	$573.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.97 / $347.09 / $641.80	Professional		$166.97	$347.09	$641.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.32 / $1,126.85 / $16,394.00	Facility		$1,108.32	$1,126.85	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.99 / $297.18 / $530.83	Facility		$159.99	$297.18	$530.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,655.00	Facility		$1,198.00	$2,699.00	$7,655.00