Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,830.00 / $18,483.00	Facility		$1,992.00	$7,830.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $274.76 / $633.58 / $855.33	Professional		$274.76	$633.58	$855.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $706.80 / $1,263.77	Professional		$517.00	$706.80	$1,263.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,500.60 / $8,957.00 / $26,542.00	Facility		$2,500.60	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $122.14 / $849.00 / $849.00	Facility	AS	$122.14	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.94 / $689.33 / $992.29	Facility		$541.94	$689.33	$992.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.17 / $60.17 / $171.46	Facility	AS	$60.17	$60.17	$171.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00