Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,165.00 / $17,013.00	Facility		$1,335.00	$5,165.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,620.13	Facility		$66.00	$100.00	$5,620.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $423.50 / $571.73	Professional		$260.61	$423.50	$571.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.40 / $484.12 / $852.98	Professional		$372.40	$484.12	$852.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,358.36 / $9,388.90 / $12,000.00	Facility		$1,358.36	$9,388.90	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.13 / $497.41 / $775.50	Facility		$382.13	$497.41	$775.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00