Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,281.00 / $17,809.00	Facility		$1,992.00	$7,281.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,501.96	Facility		$66.00	$100.00	$10,501.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,726.46 / $2,353.27	Facility		$705.31	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $652.03 / $1,116.90 / $1,702.52	Professional		$652.03	$1,116.90	$1,702.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.58 / $680.88 / $1,282.93	Professional		$511.58	$680.88	$1,282.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,463.81 / $11,500.00 / $26,542.00	Facility		$3,463.81	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.24 / $705.31 / $1,375.53	Facility		$569.24	$705.31	$1,375.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00