Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $21,960.90	Facility		$873.00	$9,674.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $209.82 / $1,027.71	Facility		$59.40	$209.82	$1,027.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.51 / $810.70 / $2,447.62	Facility		$659.51	$810.70	$2,447.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $219.14 / $327.91	Professional		$172.78	$219.14	$327.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.02 / $283.04 / $530.13	Professional		$227.02	$283.04	$530.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,433.53 / $2,948.77 / $3,033.47	Facility		$2,433.53	$2,948.77	$3,033.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $334.72 / $966.96	Facility		$243.78	$334.72	$966.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00