Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $5,980.00 / $17,013.00	Facility		$1,390.35	$5,980.00	$17,013.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,440.28	Facility		$66.00	$100.00	$7,440.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $557.16 / $752.17	Professional		$337.30	$557.16	$752.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.71 / $632.15 / $1,069.79	Professional		$456.71	$632.15	$1,069.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.52 / $16,394.00 / $19,913.50	Facility		$1,768.52	$16,394.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $109.90 / $1,887.52 / $1,887.52	Facility	AS	$109.90	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.46 / $668.59 / $973.64	Facility		$507.46	$668.59	$973.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $178.97 / $178.97 / $178.97	Facility	80	$178.97	$178.97	$178.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $53.50 / $53.50 / $152.13	Facility	AS	$53.50	$53.50	$152.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00