Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $891.25 / $2,238.72	Facility		$245.47	$891.25	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $524.81 / $1,778.28	Facility		$69.18	$524.81	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $1,174.90	Facility		$309.03	$389.05	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $575.44	Professional		$114.82	$204.17	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $380.19 / $676.08	Professional		$169.82	$380.19	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,548.82	Facility		$1,122.02	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $288.40 / $588.84	Facility		$169.82	$288.40	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,456.54	Facility		$588.84	$1,548.82	$6,456.54