Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,932.00 / $17,013.00	Facility		$365.00	$4,932.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,770.07	Facility		$66.00	$100.00	$5,770.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $4,865.67 / $8,714.64	Facility		$1,487.00	$4,865.67	$8,714.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $312.77 / $548.29	Professional		$108.34	$312.77	$548.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $362.86 / $635.01	Professional		$232.10	$362.86	$635.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,577.04 / $1,610.52 / $12,000.00	Facility		$1,577.04	$1,610.52	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $338.45 / $578.38	Facility		$168.00	$338.45	$578.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,465.00 / $20,217.00	Facility		$5,213.00	$9,465.00	$20,217.00