Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $5,990.00 / $17,054.00	Facility		$1,390.35	$5,990.00	$17,054.00
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 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.30 / $2,404.17 / $5,664.01	Facility		$2,034.30	$2,404.17	$5,664.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $271.08 / $398.61	Professional		$210.72	$271.08	$398.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.97 / $311.89 / $571.54	Professional		$243.97	$311.89	$571.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,591.73 / $9,133.70 / $16,394.00	Facility		$1,591.73	$9,133.70	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.74 / $340.16 / $596.58	Facility		$253.74	$340.16	$596.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $22,073.00	Facility		$4,728.00	$9,758.00	$22,073.00