Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $7,342.00 / $18,252.00	Facility		$2,950.00	$7,342.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,648.00 / $4,573.00 / $14,766.00	Professional		$2,648.00	$4,573.00	$14,766.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,113.00 / $7,303.00 / $15,328.00	Facility		$3,113.00	$7,303.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $397.14 / $441.27	Professional		$192.24	$397.14	$441.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $2,142.94	Facility		$65.90	$100.00	$2,142.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.27 / $2,744.27 / $2,881.48	Professional		$2,744.27	$2,744.27	$2,881.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00