Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $22,788.00	Facility		$873.00	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $5,913.00 / $12,527.00	Facility		$2,399.48	$5,913.00	$12,527.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $337.80 / $442.56	Professional		$293.74	$337.80	$442.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $392.89 / $698.26	Professional		$284.08	$392.89	$698.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,181.38 / $4,960.76 / $5,103.97	Facility		$4,181.38	$4,960.76	$5,103.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.61 / $398.27 / $605.41	Facility		$328.61	$398.27	$605.41
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