Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,159.00 / $17,013.00	Facility		$2,020.00	$6,159.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $819.77 / $1,024.71	Professional		$303.80	$819.77	$1,024.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.32 / $923.05 / $1,653.19	Professional		$666.32	$923.05	$1,653.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,977.58 / $4,883.64 / $16,394.00	Facility		$3,977.58	$4,883.64	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.79 / $886.13 / $1,212.06	Facility		$637.79	$886.13	$1,212.06
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