Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $6,229.00 / $17,380.00	Facility		$1,407.00	$6,229.00	$17,380.00
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 $168.65 / $255.22 / $359.03	Professional		$168.65	$255.22	$359.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $310.18 / $545.91	Professional		$239.36	$310.18	$545.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $888.32 / $5,444.45 / $16,394.00	Facility		$888.32	$5,444.45	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.76 / $322.00 / $454.95	Facility		$257.76	$322.00	$454.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00