Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $11,222.00	Facility		$1,723.00	$4,720.00	$11,222.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,063.87	Facility		$66.00	$100.00	$10,063.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $649.66 / $1,012.20 / $1,265.25	Professional		$649.66	$1,012.20	$1,265.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.56 / $1,143.83 / $2,050.88	Professional		$823.56	$1,143.83	$2,050.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,967.10 / $17,132.00	Facility		$55.00	$4,967.10	$17,132.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $200.20 / $1,625.25 / $1,625.25	Facility	AS	$200.20	$1,625.25	$1,625.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $901.13 / $1,123.06 / $1,543.23	Facility		$901.13	$1,123.06	$1,543.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $99.84 / $99.84 / $287.11	Facility	AS	$99.84	$99.84	$287.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00