Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,231.00 / $21,405.00	Facility		$2,456.00	$7,231.00	$21,405.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $559.94 / $624.80 / $839.91	Professional		$559.94	$624.80	$839.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.58 / $646.37 / $1,155.20	Professional		$472.58	$646.37	$1,155.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,004.42 / $4,097.59	Facility		$55.00	$4,004.42	$4,097.59
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $98.03 / $230.71 / $249.42	Facility	AS	$98.03	$230.71	$249.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.09 / $671.56 / $1,011.62	Facility		$525.09	$671.56	$1,011.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $164.36	Facility	AS	$56.52	$56.52	$164.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00