Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $5,322.00 / $17,013.00	Facility		$927.00	$5,322.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Facility		$92.10	$92.10	$92.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $130.56 / $542.80	Professional		$93.26	$130.56	$542.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $97.20 / $185.57	Professional		$75.06	$97.20	$185.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $112.93 / $485.15	Facility		$80.58	$112.93	$485.15
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00