Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,829.00 / $17,013.00	Facility		$1,539.00	$5,829.00	$17,013.00
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 / $7,343.60	Facility		$66.00	$100.00	$7,343.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $670.85 / $905.65	Professional		$181.68	$670.85	$905.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.91 / $744.58 / $1,329.57	Professional		$543.91	$744.58	$1,329.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,086.32 / $8,957.00 / $16,394.00	Facility		$2,086.32	$8,957.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $696.61 / $972.73	Facility		$432.00	$696.61	$972.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00