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 $4,446.00 / $11,139.12 / $24,548.00	Facility		$4,446.00	$11,139.12	$24,548.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,100.20	Facility		$64.40	$100.00	$7,100.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,089.00 / $3,089.00 / $3,089.00	Facility		$3,089.00	$3,089.00	$3,089.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $846.98 / $1,151.03 / $1,553.89	Professional		$846.98	$1,151.03	$1,553.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.74 / $1,296.85 / $2,393.67	Professional		$933.74	$1,296.85	$2,393.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,012.27 / $8,176.00	Facility		$55.00	$8,012.27	$8,176.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.35 / $459.90 / $501.72	Facility	AS	$195.35	$459.90	$501.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.52 / $1,306.94 / $1,975.78	Facility		$1,040.52	$1,306.94	$1,975.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $323.47	Facility	AS	$112.33	$112.33	$323.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00