Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $6,880.00 / $19,860.00	Facility		$2,421.00	$6,880.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $4,270.41 / $10,060.73	Facility		$3,613.43	$4,270.41	$10,060.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,053.66 / $1,422.44	Professional		$590.47	$1,053.66	$1,422.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $1,211.71 / $2,149.21	Professional		$947.65	$1,211.71	$2,149.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $16,223.75	Facility		$5,897.00	$5,897.00	$16,223.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $957.87 / $1,215.10 / $1,809.31	Facility		$957.87	$1,215.10	$1,809.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,555.00 / $29,312.00	Facility		$7,696.00	$13,555.00	$29,312.00