Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $20,509.00	Facility		$2,843.00	$9,639.00	$20,509.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $676.16 / $715.94 / $4,275.33	Facility	52	$676.16	$715.94	$4,275.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,675.00 / $13,255.00 / $41,473.83	Facility		$4,675.00	$13,255.00	$41,473.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,824.82	Facility		$64.40	$100.00	$8,824.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,000.00 / $20,814.00 / $25,978.00	Facility		$11,000.00	$20,814.00	$25,978.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.90 / $1,646.28 / $2,222.48	Professional		$1,237.90	$1,646.28	$2,222.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,331.57 / $1,869.74 / $3,389.76	Professional		$1,331.57	$1,869.74	$3,389.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,350.86 / $18,729.37	Facility		$55.00	$18,350.86	$18,729.37
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,286.33 / $5,369.79 / $5,796.52	Facility	52	$2,286.33	$5,369.79	$5,796.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $285.79 / $671.22 / $724.57	Facility	AS	$285.79	$671.22	$724.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,525.40 / $1,920.01 / $2,895.59	Facility		$1,525.40	$1,920.01	$2,895.59
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $557.09 / $557.09 / $557.09	Facility	80	$557.09	$557.09	$557.09
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $473.53	Facility	AS	$164.00	$164.00	$473.53
United Facility/Professional Facility Modifier Low / Median / High Price $9,252.00 / $18,330.00 / $42,098.00	Facility		$9,252.00	$18,330.00	$42,098.00