Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,532.00 / $17,809.00	Facility		$1,256.22	$5,532.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.33 / $6,900.00 / $16,377.00	Facility		$492.33	$6,900.00	$16,377.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
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 $511.54 / $774.11 / $1,060.30	Professional		$511.54	$774.11	$1,060.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.47 / $988.01 / $1,809.96	Professional		$725.47	$988.01	$1,809.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,679.76 / $13,026.72	Facility		$5,000.00	$10,679.76	$13,026.72
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $990.56 / $2,323.71 / $2,412.19	Facility	62	$990.56	$2,323.71	$2,412.19
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.49 / $371.79 / $385.95	Facility	AS	$158.49	$371.79	$385.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.70 / $1,024.22 / $1,560.01	Facility		$844.70	$1,024.22	$1,560.01
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $569.25 / $569.25 / $1,207.51	Facility	62	$569.25	$569.25	$1,207.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $309.12 / $309.12 / $309.12	Facility	80	$309.12	$309.12	$309.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $262.75	Facility	AS	$91.08	$91.08	$262.75
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $7,935.00	Facility		$587.00	$1,551.00	$7,935.00