Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,459.50 / $10,302.00 / $21,886.00	Facility		$3,459.50	$10,302.00	$21,886.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $19,032.25 / $19,032.25 / $19,032.25	Facility	22	$19,032.25	$19,032.25	$19,032.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,976.00 / $20,103.00 / $20,103.00	Facility	50	$5,976.00	$20,103.00	$20,103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $12,833.44	Facility		$66.90	$100.00	$12,833.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,406.33 / $16,847.16	Facility		$3,203.00	$9,406.33	$16,847.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $841.03 / $1,240.72 / $6,715.45	Professional		$841.03	$1,240.72	$6,715.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.37 / $1,387.65 / $2,462.36	Professional		$987.37	$1,387.65	$2,462.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,963.40 / $26,542.00 / $27,167.40	Facility		$3,963.40	$26,542.00	$27,167.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $241.80 / $2,575.09 / $2,575.09	Facility	AS	$241.80	$2,575.09	$2,575.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,074.66 / $1,357.25 / $1,942.78	Facility		$1,074.66	$1,357.25	$1,942.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $401.12 / $401.12 / $401.12	Facility	80	$401.12	$401.12	$401.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $119.08 / $119.08 / $340.95	Facility	AS	$119.08	$119.08	$340.95
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $12,278.00 / $12,278.00 / $12,278.00	Facility		$12,278.00	$12,278.00	$12,278.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $28,973.00	Facility		$7,212.00	$13,651.00	$28,973.00