Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $6,159.00 / $17,809.00	Facility		$1,188.00	$6,159.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,091.68 / $3,025.00	Facility		$633.00	$1,091.68	$3,025.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $337.99 / $1,840.56	Professional		$234.18	$337.99	$1,840.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.56 / $1,091.36 / $2,135.07	Professional		$255.56	$1,091.36	$2,135.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,790.58 / $2,150.34	Facility		$55.00	$1,790.58	$2,150.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $1,025.00 / $1,952.06	Facility		$266.89	$1,025.00	$1,952.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00