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 $3,222.00 / $9,008.00 / $34,433.58	Facility		$3,222.00	$9,008.00	$34,433.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,367.09	Facility		$64.40	$100.00	$5,367.09
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 $534.25 / $808.48 / $1,011.44	Professional		$534.25	$808.48	$1,011.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.18 / $908.36 / $1,660.49	Professional		$673.18	$908.36	$1,660.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $9,399.87 / $11,605.72	Facility		$5,000.00	$9,399.87	$11,605.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.51 / $329.26 / $355.29	Facility	AS	$139.51	$329.26	$355.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.31 / $905.49 / $1,356.60	Facility		$744.31	$905.49	$1,356.60
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.32 / $270.32 / $270.32	Facility	80	$270.32	$270.32	$270.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.45 / $80.45 / $229.77	Facility	AS	$80.45	$80.45	$229.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00