Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $17,013.00	Facility		$462.00	$5,505.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,007.97	Facility		$66.00	$100.00	$7,007.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $243.39 / $489.13	Professional		$170.89	$243.39	$489.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $352.94 / $611.41	Professional		$201.13	$352.94	$611.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $929.36 / $980.12 / $16,394.00	Facility		$929.36	$980.12	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.70 / $338.62 / $541.71	Facility		$216.70	$338.62	$541.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,352.00 / $15,471.00	Facility		$3,087.00	$7,352.00	$15,471.00