Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.11 / $5,322.00 / $17,133.00	Facility		$554.11	$5,322.00	$17,133.00
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 $69.80 / $100.00 / $5,771.00	Facility		$69.80	$100.00	$5,771.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,658.93 / $4,917.14	Facility		$400.00	$1,658.93	$4,917.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $557.72 / $939.14	Professional		$138.50	$557.72	$939.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.97 / $617.64 / $1,078.27	Professional		$438.97	$617.64	$1,078.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,946.84 / $2,995.32 / $12,000.00	Facility		$2,946.84	$2,995.32	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.39 / $562.89 / $911.67	Facility		$312.39	$562.89	$911.67
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,355.00 / $4,355.00 / $4,355.00	Facility		$4,355.00	$4,355.00	$4,355.00
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