Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.18 / $5,165.00 / $17,380.00	Facility		$128.18	$5,165.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,343.00 / $8,557.00	Facility		$1,516.00	$4,343.00	$8,557.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $1,580.37	Facility		$67.90	$100.00	$1,580.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.11 / $440.95 / $1,404.00	Facility		$165.11	$440.95	$1,404.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $120.05 / $183.25	Professional		$79.30	$120.05	$183.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $132.15 / $241.27	Professional		$100.68	$132.15	$241.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $466.27 / $491.77 / $12,000.00	Facility		$466.27	$491.77	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.68 / $142.50 / $204.77	Facility		$107.68	$142.50	$204.77
United Facility/Professional Facility Modifier Low / Median / High Price $279.57 / $1,312.00 / $5,691.00	Facility		$279.57	$1,312.00	$5,691.00