Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
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 / $5,349.65	Facility		$66.00	$100.00	$5,349.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.46 / $1,380.91 / $3,253.30	Facility		$1,168.46	$1,380.91	$3,253.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $566.32 / $764.53	Professional		$372.30	$566.32	$764.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.16 / $651.27 / $1,158.91	Professional		$504.16	$651.27	$1,158.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,218.72 / $6,381.54 / $12,000.00	Facility		$5,218.72	$6,381.54	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.92 / $607.72 / $840.00	Facility		$406.92	$607.72	$840.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,106.00 / $16,148.00	Facility		$3,610.00	$7,106.00	$16,148.00