Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.45 / $5,505.00 / $16,713.00	Facility		$585.45	$5,505.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $477.80 / $938.97	Professional		$253.16	$477.80	$938.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.57 / $611.34 / $1,053.90	Professional		$373.57	$611.34	$1,053.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,505.96 / $2,554.92 / $16,394.00	Facility		$2,505.96	$2,554.92	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.09 / $584.66 / $886.79	Facility		$404.09	$584.66	$886.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,068.98 / $4,060.00 / $9,131.00	Facility		$2,068.98	$4,060.00	$9,131.00