Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,178.00 / $16,573.00	Facility		$934.95	$5,178.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $4,464.00 / $9,274.00	Facility		$1,500.00	$4,464.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $705.31	Facility		$705.31	$705.31	$705.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $99.99 / $134.99	Professional		$46.54	$99.99	$134.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $108.16 / $204.80	Professional		$81.31	$108.16	$204.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $202.23 / $1,399.00	Facility		$55.00	$202.23	$1,399.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.74 / $109.65 / $159.97	Facility		$84.74	$109.65	$159.97
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,501.00 / $7,068.00	Facility		$534.00	$1,501.00	$7,068.00