Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $22,790.97	Facility		$3,908.00	$10,710.50	$22,790.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,230.50	Facility		$64.40	$100.00	$7,230.50
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 $736.78 / $1,114.97 / $1,475.98	Professional		$736.78	$1,114.97	$1,475.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.22 / $1,328.85 / $2,380.40	Professional		$944.22	$1,328.85	$2,380.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,196.86 / $8,363.95	Facility		$55.00	$8,196.86	$8,363.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $199.73 / $470.35 / $513.95	Facility	AS	$199.73	$470.35	$513.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,011.73 / $1,298.40 / $1,741.60	Facility		$1,011.73	$1,298.40	$1,741.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $330.24	Facility	AS	$114.90	$114.90	$330.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00