Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.03 / $188.20 / $25,612.00	Facility		$175.03	$188.20	$25,612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $9,596.00 / $18,150.00	Facility		$2,456.00	$9,596.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $4,843.14 / $12,047.86	Facility		$96.60	$4,843.14	$12,047.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$23,091.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $178.27 / $231.75	Professional		$146.71	$178.27	$231.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $202.74 / $377.30	Professional		$160.44	$202.74	$377.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $381.25 / $2,647.00 / $2,647.00	Facility		$381.25	$2,647.00	$2,647.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.85 / $257.77 / $13,335.00	Facility		$185.85	$257.77	$13,335.00
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,920.00	Facility		$548.00	$1,523.00	$6,920.00