Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,414.09 / $10,321.00 / $21,960.90	Facility		$2,414.09	$10,321.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,222.00 / $26,030.80	Facility		$4,314.00	$11,222.00	$26,030.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,378.59	Facility		$63.90	$100.00	$10,378.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,043.93 / $2,735.67 / $3,693.15	Professional		$2,043.93	$2,735.67	$3,693.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,335.23 / $3,174.68 / $5,748.47	Professional		$2,335.23	$3,174.68	$5,748.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $27,035.36 / $32,571.22	Facility		$5,000.00	$27,035.36	$32,571.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.66 / $3,195.61 / $4,401.97	Facility		$2,630.66	$3,195.61	$4,401.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00