Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,506.48	Facility		$66.00	$100.00	$7,506.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $471.96 / $637.15	Professional		$297.83	$471.96	$637.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.76 / $519.20 / $924.42	Professional		$397.76	$519.20	$924.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.38 / $16,394.00 / $16,547.20	Facility		$2,137.38	$16,394.00	$16,547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.31 / $506.53 / $791.84	Facility		$391.31	$506.53	$791.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00