Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.30 / $4,848.00 / $16,109.00	Facility		$241.30	$4,848.00	$16,109.00
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 $31.65 / $155.71 / $452.16	Professional		$31.65	$155.71	$452.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $259.98 / $502.40	Professional		$110.20	$259.98	$502.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $753.72 / $12,000.00	Facility		$738.78	$753.72	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $191.85 / $418.70	Facility		$81.20	$191.85	$418.70
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