Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,903.50 / $6,588.00 / $17,133.00	Facility		$1,903.50	$6,588.00	$17,133.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,592.00 / $17,774.00	Facility		$2,275.00	$8,592.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $4,253.21 / $5,797.38	Facility		$705.31	$4,253.21	$5,797.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.16 / $1,471.39 / $4,194.22	Professional		$1,226.16	$1,471.39	$4,194.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.68 / $1,280.04 / $2,411.79	Professional		$961.68	$1,280.04	$2,411.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,150.00 / $16,967.80	Facility		$2,150.00	$2,150.00	$16,967.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.78 / $1,315.52 / $1,963.18	Facility		$1,056.78	$1,315.52	$1,963.18
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $383.00 / $383.00 / $383.00	Facility	80	$383.00	$383.00	$383.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,186.00 / $26,109.00	Facility		$5,478.00	$12,186.00	$26,109.00