Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.64 / $5,576.00 / $16,210.00	Facility		$586.64	$5,576.00	$16,210.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,718.00 / $9,622.00	Facility		$1,882.00	$4,718.00	$9,622.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $14,991.47	Facility		$66.09	$100.00	$14,991.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $3,755.29 / $6,991.53	Facility		$64.52	$3,755.29	$6,991.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $1,957.43 / $3,526.56	Professional		$107.81	$1,957.43	$3,526.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $975.66 / $2,224.50	Professional		$95.67	$975.66	$2,224.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,381.90 / $2,381.90 / $11,500.00	Facility		$2,381.90	$2,381.90	$11,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $417.10 / $2,135.38	Facility		$70.28	$417.10	$2,135.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,434.00 / $28,228.00	Facility		$5,416.00	$12,434.00	$28,228.00