Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,143.00 / $25,694.00	Facility		$3,546.09	$10,143.00	$25,694.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $9,256.00 / $18,544.00	Facility		$2,456.00	$9,256.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,729.10	Facility		$66.00	$100.00	$11,729.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $2,977.65 / $4,058.71	Facility		$802.88	$2,977.65	$4,058.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $992.92 / $1,445.66 / $1,878.24	Professional		$992.92	$1,445.66	$1,878.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.60 / $1,381.30 / $2,652.79	Professional		$1,039.60	$1,381.30	$2,652.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,096.81 / $11,879.05 / $26,542.00	Facility		$7,096.81	$11,879.05	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,184.19 / $1,550.75 / $2,400.00	Facility		$1,184.19	$1,550.75	$2,400.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $417.30 / $417.30 / $417.30	Facility	80	$417.30	$417.30	$417.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,307.00 / $12,313.00 / $26,451.00	Facility		$5,307.00	$12,313.00	$26,451.00