Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,170.64 / $7,494.00 / $18,252.00	Facility		$2,170.64	$7,494.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $593.54 / $801.29	Professional		$233.43	$593.54	$801.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.49 / $656.84 / $1,172.08	Professional		$479.49	$656.84	$1,172.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,830.20 / $8,957.00 / $26,542.00	Facility		$1,830.20	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $112.73 / $849.00 / $849.00	Facility	AS	$112.73	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $519.66 / $639.32 / $919.39	Facility		$519.66	$639.32	$919.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $55.33 / $55.33 / $157.47	Facility	AS	$55.33	$55.33	$157.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,106.00 / $14,636.00	Facility		$3,842.00	$7,106.00	$14,636.00