Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $9,639.00 / $20,509.00	Facility		$785.65	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,248.00 / $49,214.59	Facility		$3,222.00	$9,248.00	$49,214.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
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 $611.32 / $829.91 / $1,120.38	Professional		$611.32	$829.91	$1,120.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.77 / $961.21 / $1,752.43	Professional		$707.77	$961.21	$1,752.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,255.94 / $5,406.60	Facility		$55.00	$5,255.94	$5,406.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.56 / $354.84 / $373.55	Facility	AS	$151.56	$354.84	$373.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.01 / $1,000.69 / $1,405.05	Facility		$801.01	$1,000.69	$1,405.05
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $300.39 / $300.39 / $300.39	Facility	80	$300.39	$300.39	$300.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.39 / $87.39 / $255.33	Facility	AS	$87.39	$87.39	$255.33
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,861.00 / $42,098.00	Facility		$8,822.00	$17,861.00	$42,098.00