Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $7,000.00 / $18,827.00	Facility		$1,820.00	$7,000.00	$18,827.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $16,535.65 / $29,616.09	Facility		$2,277.00	$16,535.65	$29,616.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.82 / $402.26 / $1,776.60	Professional		$265.82	$402.26	$1,776.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.43 / $1,478.98 / $2,647.50	Professional		$1,051.43	$1,478.98	$2,647.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,229.32 / $26,542.00 / $47,758.35	Facility		$4,229.32	$26,542.00	$47,758.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $258.66 / $4,526.82 / $4,526.82	Facility	AS	$258.66	$4,526.82	$4,526.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.58 / $1,389.12 / $1,911.58	Facility		$574.58	$1,389.12	$1,911.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $425.65 / $425.65 / $425.65	Facility	80	$425.65	$425.65	$425.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $127.09 / $127.09 / $361.81	Facility	AS	$127.09	$127.09	$361.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,908.00 / $22,113.00	Facility		$5,116.00	$9,908.00	$22,113.00