Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,631.00 / $18,293.00	Facility		$2,608.00	$7,631.00	$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 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $5,554.45	Facility		$2,277.00	$3,106.72	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $577.07 / $732.69 / $1,091.59	Professional		$577.07	$732.69	$1,091.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.42 / $818.00 / $1,511.87	Professional		$600.42	$818.00	$1,511.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,919.35 / $8,957.00 / $26,542.00	Facility		$2,919.35	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $142.34 / $849.00 / $849.00	Facility	AS	$142.34	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $650.75 / $813.14 / $1,343.49	Facility		$650.75	$813.14	$1,343.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $70.31 / $70.31 / $200.83	Facility	AS	$70.31	$70.31	$200.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,763.00 / $9,758.00 / $21,278.00	Facility		$4,763.00	$9,758.00	$21,278.00