Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,665.00 / $21,073.50	Facility		$2,843.00	$9,665.00	$21,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,576.00 / $16,261.00 / $51,758.00	Facility		$5,576.00	$16,261.00	$51,758.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,386.46	Facility		$65.80	$100.00	$7,386.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,544.00 / $2,544.00 / $2,544.00	Facility		$2,544.00	$2,544.00	$2,544.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $956.07 / $1,446.82 / $1,822.14	Professional		$956.07	$1,446.82	$1,822.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.40 / $1,658.69 / $3,011.34	Professional		$1,196.40	$1,658.69	$3,011.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $13,610.96 / $16,686.66	Facility		$5,000.00	$13,610.96	$16,686.66
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,602.31 / $3,781.71 / $4,036.11	Facility	62	$1,602.31	$3,781.71	$4,036.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $256.37 / $605.07 / $645.78	Facility	AS	$256.37	$605.07	$645.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,329.33 / $1,644.52 / $2,496.00	Facility		$1,329.33	$1,644.52	$2,496.00
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $925.06 / $925.06 / $1,937.24	Facility	62	$925.06	$925.06	$1,937.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $495.93 / $495.93 / $495.93	Facility	80	$495.93	$495.93	$495.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $148.01 / $148.01 / $421.54	Facility	AS	$148.01	$148.01	$421.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $43,423.00	Facility		$8,830.00	$18,191.00	$43,423.00