Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.30 / $4,704.00 / $16,125.00	Facility		$485.30	$4,704.00	$16,125.00
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 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $247.21 / $565.75 / $763.76	Professional		$247.21	$565.75	$763.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.54 / $639.35 / $1,118.92	Professional		$477.54	$639.35	$1,118.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,208.80 / $2,415.85 / $12,000.00	Facility		$2,208.80	$2,415.85	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.30 / $619.22 / $839.19	Facility		$451.30	$619.22	$839.19
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00