Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.49 / $5,382.00 / $16,573.00	Facility		$264.49	$5,382.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $198.58 / $479.32	Professional		$92.70	$198.58	$479.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $287.42 / $539.63	Professional		$141.41	$287.42	$539.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $955.32 / $983.58 / $16,394.00	Facility		$955.32	$983.58	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $225.69 / $448.60	Facility		$111.65	$225.69	$448.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00