Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $23,988.33	Facility		$4,466.84	$10,232.93	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $16,982.44	Facility		$66.07	$4,073.80	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $724.44	Professional		$338.84	$537.03	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,000.00	Professional		$426.58	$562.34	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $1,023.29	Facility		$457.09	$602.56	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96