Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
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 $132.54 / $172.46 / $237.22	Professional		$132.54	$172.46	$237.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $191.32 / $329.27	Professional		$141.72	$191.32	$329.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $659.72 / $693.93 / $12,000.00	Facility		$659.72	$693.93	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.04 / $203.07 / $321.48	Facility		$151.04	$203.07	$321.48
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