Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $12,615.00	Facility		$2,143.00	$5,944.00	$12,615.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.91 / $798.91 / $944.16	Facility		$798.91	$798.91	$944.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $220.39 / $551.17	Professional		$115.04	$220.39	$551.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.11 / $341.27 / $552.92	Professional		$181.11	$341.27	$552.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $841.48 / $885.54 / $16,394.00	Facility		$841.48	$885.54	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.50 / $347.40 / $585.78	Facility		$199.50	$347.40	$585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,753.00 / $11,305.00	Facility		$1,371.00	$2,753.00	$11,305.00