Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,146.30 / $18,293.00	Facility		$2,608.00	$7,146.30	$18,293.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,035.00 / $14,981.00	Facility		$2,675.00	$7,035.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,739.33	Facility		$66.00	$100.00	$8,739.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,554.45 / $25,197.00	Facility		$2,277.00	$5,554.45	$25,197.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $695.04 / $938.30	Professional		$414.74	$695.04	$938.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.10 / $777.65 / $1,391.13	Professional		$569.10	$777.65	$1,391.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,316.62 / $8,957.00 / $26,542.00	Facility		$3,316.62	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.88 / $849.00 / $849.00	Facility	AS	$134.88	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.12 / $783.74 / $1,136.68	Facility		$622.12	$783.74	$1,136.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.47 / $66.47 / $190.90	Facility	AS	$66.47	$66.47	$190.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00