Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,076.00 / $16,573.00	Facility		$934.95	$5,076.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $1,458.73 / $1,988.34	Facility		$372.64	$1,458.73	$1,988.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $125.66 / $158.46	Professional		$83.77	$125.66	$158.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $125.94 / $238.45	Professional		$94.68	$125.94	$238.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $559.32 / $11,500.00 / $12,000.00	Facility		$559.32	$11,500.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.30 / $139.69 / $237.69	Facility		$110.30	$139.69	$237.69
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