Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.26 / $5,505.00 / $16,713.00	Facility		$587.26	$5,505.00	$16,713.00
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 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $536.83 / $965.56	Professional		$262.47	$536.83	$965.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.09 / $643.71 / $1,110.99	Professional		$425.09	$643.71	$1,110.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,967.68 / $2,107.42 / $16,394.00	Facility		$1,967.68	$2,107.42	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.67 / $632.24 / $938.18	Facility		$443.67	$632.24	$938.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00