Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.72 / $5,505.00 / $16,713.00	Facility		$551.72	$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 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
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 $186.52 / $496.78 / $977.75	Professional		$186.52	$496.78	$977.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.33 / $629.64 / $1,113.34	Professional		$388.33	$629.64	$1,113.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,596.32 / $2,628.78 / $16,394.00	Facility		$2,596.32	$2,628.78	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.03 / $560.95 / $905.68	Facility		$344.03	$560.95	$905.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00