Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,919.63	Facility		$67.90	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $3,904.16 / $14,500.80	Facility		$455.00	$3,904.16	$14,500.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $426.98 / $662.00	Professional		$349.96	$426.98	$662.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.31 / $469.26 / $895.76	Professional		$357.31	$469.26	$895.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.73 / $21,278.64 / $24,378.75	Facility		$2,122.73	$21,278.64	$24,378.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.90 / $506.80 / $800.94	Facility		$379.90	$506.80	$800.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,274.00 / $15,471.00	Facility		$2,181.00	$7,274.00	$15,471.00