Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,310.00 / $16,713.00	Facility		$1,017.00	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.46 / $113.00 / $297.61	Facility		$93.46	$113.00	$297.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $79.30 / $10,576.14	Facility		$46.10	$79.30	$10,576.14
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 $72.59 / $90.33 / $112.91	Professional		$72.59	$90.33	$112.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $105.50 / $214.00	Professional		$76.50	$105.50	$214.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $308.94 / $403.75	Facility		$55.00	$308.94	$403.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $102.84 / $138.43	Facility		$82.54	$102.84	$138.43
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