Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.69 / $4,932.00 / $16,713.00	Facility		$553.69	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $422.19 / $511.54 / $715.27	Professional		$422.19	$511.54	$715.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $533.79 / $919.00	Professional		$387.66	$533.79	$919.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,546.56 / $3,631.84 / $12,000.00	Facility		$3,546.56	$3,631.84	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.46 / $614.57 / $978.53	Facility		$453.46	$614.57	$978.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00