Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,095.04 / $10,004.00 / $22,788.00	Facility		$3,095.04	$10,004.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.66 / $4,004.78 / $9,434.92	Facility		$3,388.66	$4,004.78	$9,434.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $692.48 / $1,001.73 / $1,352.34	Professional		$692.48	$1,001.73	$1,352.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.56 / $1,153.80 / $2,058.91	Professional		$901.56	$1,153.80	$2,058.91
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,091.42 / $15,214.55 / $26,542.00	Facility		$5,091.42	$15,214.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $200.69 / $1,442.13 / $1,442.13	Facility	AS	$200.69	$1,442.13	$1,442.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.60 / $1,123.04 / $1,615.20	Facility		$908.60	$1,123.04	$1,615.20
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $348.31 / $348.31 / $348.31	Facility	80	$348.31	$348.31	$348.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $296.06 / $296.06 / $296.06	Facility	AS	$296.06	$296.06	$296.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00