Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,232.93 / $20,417.38	Facility		$3,981.07	$10,232.93	$20,417.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,265.80 / $12,302.69	Facility		$66.07	$4,265.80	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $758.58	Professional		$371.54	$562.34	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,174.90	Professional		$467.74	$630.96	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,148.15	Facility		$537.03	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61