Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,560.00 / $21,357.00	Facility		$2,387.00	$9,560.00	$21,357.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $9,043.00 / $19,398.00	Facility		$1,700.00	$9,043.00	$19,398.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $10,063.87	Facility		$67.90	$100.00	$10,063.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $3,461.93 / $10,261.32	Facility		$633.00	$3,461.93	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $894.26 / $1,207.25	Professional		$590.47	$894.26	$1,207.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.03 / $973.86 / $1,760.22	Professional		$744.03	$973.86	$1,760.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,442.95 / $16,547.20	Facility		$55.00	$14,442.95	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.94 / $1,030.52 / $1,447.15	Facility		$775.94	$1,030.52	$1,447.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,228.00 / $26,109.00	Facility		$2,673.00	$11,228.00	$26,109.00