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 / $18,681.00	Facility		$1,539.00	$6,423.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,418.00 / $9,274.00	Facility		$1,200.00	$4,418.00	$9,274.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.36 / $900.00 / $2,226.34	Facility		$628.36	$900.00	$2,226.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $332.67 / $449.10	Professional		$214.82	$332.67	$449.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.38 / $365.05 / $748.51	Professional		$273.38	$365.05	$748.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,374.85 / $3,590.15 / $16,394.00	Facility		$1,374.85	$3,590.15	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.20 / $394.16 / $665.00	Facility		$303.20	$394.16	$665.00
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