Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $8,859.00 / $19,368.00	Facility		$2,231.07	$8,859.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,077.00 / $19,951.00	Facility		$3,537.00	$10,077.00	$19,951.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,059.86	Facility		$66.00	$100.00	$12,059.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $18,303.61 / $32,782.58	Facility		$3,203.00	$18,303.61	$32,782.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $661.58 / $1,200.58 / $1,620.78	Professional		$661.58	$1,200.58	$1,620.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.48 / $1,352.73 / $2,457.11	Professional		$961.48	$1,352.73	$2,457.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,868.00 / $26,542.00 / $54,441.95	Facility		$4,868.00	$26,542.00	$54,441.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $236.21 / $5,010.81 / $5,010.81	Facility	AS	$236.21	$5,010.81	$5,010.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,088.96 / $1,354.87 / $1,992.80	Facility		$1,088.96	$1,354.87	$1,992.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.95 / $116.95 / $336.03	Facility	AS	$116.95	$116.95	$336.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,312.00	Facility		$7,696.00	$13,797.00	$29,312.00