Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,860.00	Facility		$2,616.00	$8,870.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,710.50 / $26,030.80	Facility		$3,908.00	$10,710.50	$26,030.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,721.71	Facility		$64.40	$100.00	$7,721.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $20,814.00 / $25,978.00	Facility		$2,277.00	$20,814.00	$25,978.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,718.04	Professional		$843.26	$1,276.09	$1,718.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,103.90 / $1,552.34 / $2,782.91	Professional		$1,103.90	$1,552.34	$2,782.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,997.36 / $11,223.20	Facility		$55.00	$10,997.36	$11,223.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $234.88 / $552.54 / $600.86	Facility	AS	$234.88	$552.54	$600.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.83 / $1,539.10 / $2,114.00	Facility		$1,230.83	$1,539.10	$2,114.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.88 / $456.88 / $456.88	Facility	80	$456.88	$456.88	$456.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $135.00 / $135.00 / $388.34	Facility	AS	$135.00	$135.00	$388.34
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