Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,003.00 / $9,697.00 / $20,509.00	Facility		$4,003.00	$9,697.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,206.64 / $15,815.07 / $15,815.07	Professional		$5,206.64	$15,815.07	$15,815.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,474.00 / $20,418.00	Facility		$4,437.00	$10,474.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $13,744.43 / $53,608.98	Facility		$92.60	$13,744.43	$53,608.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,002.95 / $16,002.95 / $18,912.58	Facility		$16,002.95	$16,002.95	$18,912.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17,760.65 / $17,760.65 / $18,648.68	Professional		$17,760.65	$17,760.65	$18,648.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16,002.95 / $16,002.95 / $18,912.58	Facility		$16,002.95	$16,002.95	$18,912.58
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00