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 / $16,573.00	Facility		$344.00	$4,932.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.55 / $742.86 / $1,487.00	Facility		$741.55	$742.86	$1,487.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $202.75 / $428.25	Professional		$116.53	$202.75	$428.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $274.61 / $487.60	Professional		$152.37	$274.61	$487.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $872.30 / $891.30	Facility		$55.00	$872.30	$891.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.11 / $268.72 / $421.52	Facility		$179.11	$268.72	$421.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,699.00 / $7,655.00	Facility		$1,207.00	$2,699.00	$7,655.00