Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,342.00 / $16,713.00	Facility		$2,020.00	$6,342.00	$16,713.00
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 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $442.76 / $597.73	Professional		$131.41	$442.76	$597.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.23 / $461.55 / $869.55	Professional		$351.23	$461.55	$869.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,008.74 / $11,500.00 / $16,394.00	Facility		$2,008.74	$11,500.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.56 / $462.36 / $663.14	Facility		$329.56	$462.36	$663.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00