Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.86 / $6,423.00 / $18,293.00	Facility		$1,490.86	$6,423.00	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
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 $498.46 / $1,766.05 / $4,917.14	Facility		$498.46	$1,766.05	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $515.66 / $696.14	Professional		$123.60	$515.66	$696.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.78 / $554.47 / $992.66	Professional		$422.78	$554.47	$992.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,468.21 / $7,929.30 / $16,394.00	Facility		$2,468.21	$7,929.30	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.38 / $526.50 / $779.48	Facility		$329.38	$526.50	$779.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,029.00 / $14,743.00	Facility		$1,300.00	$7,029.00	$14,743.00