Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,007.00 / $9,961.00	Facility		$2,160.00	$5,007.00	$9,961.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $606.22 / $1,023.68	Professional		$400.59	$606.22	$1,023.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.69 / $932.95 / $1,675.63	Professional		$674.69	$932.95	$1,675.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,179.20 / $4,248.60	Facility		$55.00	$4,179.20	$4,248.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $761.65 / $941.60 / $1,256.72	Facility		$761.65	$941.60	$1,256.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00