Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.19 / $5,505.00 / $16,210.00	Facility		$632.19	$5,505.00	$16,210.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,726.46 / $2,353.27	Facility		$499.60	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $794.59 / $1,100.88	Professional		$421.82	$794.59	$1,100.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.66 / $748.32 / $1,327.25	Professional		$532.66	$748.32	$1,327.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,772.50 / $3,891.72 / $16,394.00	Facility		$3,772.50	$3,891.72	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.78 / $827.70 / $1,131.30	Facility		$656.78	$827.70	$1,131.30
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