Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $4,950.00 / $17,328.00	Facility		$123.48	$4,950.00	$17,328.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $6,790.00 / $13,707.00	Facility		$1,200.00	$6,790.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $264.04 / $2,059.31	Facility		$97.00	$264.04	$2,059.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $652.00 / $679.75	Facility		$93.73	$652.00	$679.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $123.20 / $209.90	Professional		$77.00	$123.20	$209.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $134.83 / $242.00	Professional		$69.78	$134.83	$242.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $361.79 / $361.79	Facility		$215.20	$361.79	$361.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $118.40 / $204.29	Facility		$68.81	$118.40	$204.29