Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,125.00	Facility		$344.00	$4,848.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Facility		$128.44	$128.44	$128.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $193.60 / $272.04	Professional		$81.70	$193.60	$272.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $153.61 / $271.35	Professional		$73.54	$153.61	$271.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $339.11 / $363.57	Facility		$55.00	$339.11	$363.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $143.91 / $282.77	Facility		$72.33	$143.91	$282.77
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00