Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $19,011.00	Facility		$2,197.85	$7,858.00	$19,011.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $17,774.00	Facility		$2,776.00	$9,110.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,373.42	Facility		$66.00	$100.00	$10,373.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $17,479.75 / $31,307.02	Facility		$2,813.00	$17,479.75	$31,307.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $1,043.39 / $1,408.58	Professional		$548.03	$1,043.39	$1,408.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.34 / $1,172.84 / $2,123.00	Professional		$833.34	$1,172.84	$2,123.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,205.75 / $26,542.00 / $50,485.10	Facility		$4,205.75	$26,542.00	$50,485.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $204.36 / $4,785.27 / $4,785.27	Facility	AS	$204.36	$4,785.27	$4,785.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.43 / $1,172.84 / $1,590.27	Facility		$938.43	$1,172.84	$1,590.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $101.30 / $101.30 / $291.04	Facility	AS	$101.30	$101.30	$291.04
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,312.00	Facility		$7,696.00	$13,784.00	$29,312.00