Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.73 / $5,576.00 / $17,538.00	Facility		$586.73	$5,576.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $900.00 / $2,226.34	Facility		$455.00	$900.00	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $261.39 / $385.92 / $714.12	Professional		$261.39	$385.92	$714.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.93 / $437.60 / $793.47	Professional		$234.93	$437.60	$793.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.20 / $1,373.20 / $16,394.00	Facility		$1,338.20	$1,373.20	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.62 / $458.83 / $780.29	Facility		$266.62	$458.83	$780.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00