Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.55 / $6,631.00 / $17,509.09	Facility		$385.55	$6,631.00	$17,509.09
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 / $7,602.09	Facility		$67.90	$100.00	$7,602.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.01 / $1,766.05 / $4,917.14	Facility		$538.01	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $192.48 / $288.72	Professional		$131.08	$192.48	$288.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $144.19 / $303.91	Professional		$110.11	$144.19	$303.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $651.41 / $7,929.30 / $26,542.00	Facility		$651.41	$7,929.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $197.61 / $377.04	Facility		$121.73	$197.61	$377.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00