Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $5,308.00 / $17,054.00	Facility		$927.00	$5,308.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.02 / $563.75 / $1,328.15	Facility		$477.02	$563.75	$1,328.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $100.31 / $135.41	Professional		$70.73	$100.31	$135.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $118.09 / $212.43	Professional		$90.68	$118.09	$212.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $596.75 / $3,499.00 / $12,000.00	Facility		$596.75	$3,499.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.44 / $129.63 / $219.69	Facility		$100.44	$129.63	$219.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00