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 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.55 / $742.86 / $1,487.00	Facility		$741.55	$742.86	$1,487.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $332.69 / $449.13	Professional		$102.73	$332.69	$449.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $240.77 / $517.39	Professional		$92.38	$240.77	$517.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $432.28 / $446.26	Facility		$55.00	$432.28	$446.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $146.59 / $420.26	Facility		$83.14	$146.59	$420.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00