Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,159.00 / $34,930.00	Facility		$4,314.00	$12,159.00	$34,930.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,521.05	Facility		$64.40	$100.00	$7,521.05
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 $843.26 / $1,263.86 / $1,595.13	Professional		$843.26	$1,263.86	$1,595.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.45 / $1,427.01 / $2,635.11	Professional		$1,027.45	$1,427.01	$2,635.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,841.98 / $9,033.36	Facility		$55.00	$8,841.98	$9,033.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $215.80 / $507.73 / $552.33	Facility	AS	$215.80	$507.73	$552.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,147.82 / $1,441.14 / $2,092.50	Facility		$1,147.82	$1,441.14	$2,092.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $124.19 / $124.19 / $357.77	Facility	AS	$124.19	$124.19	$357.77
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00