Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.00 / $7,000.00 / $18,607.00	Facility		$2,517.00	$7,000.00	$18,607.00
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $7,786.96 / $7,786.96 / $7,786.96	Facility	AS	$7,786.96	$7,786.96	$7,786.96
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 / $8,731.77	Facility		$66.00	$100.00	$8,731.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,106.72 / $8,500.00	Facility		$2,277.00	$3,106.72	$8,500.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $542.80 / $793.77 / $1,071.58	Professional		$542.80	$793.77	$1,071.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $888.54 / $1,616.44	Professional		$649.04	$888.54	$1,616.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,528.71 / $8,957.00 / $26,542.00	Facility		$2,528.71	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.66 / $849.00 / $849.00	Facility	AS	$155.66	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.16 / $891.36 / $1,272.05	Facility		$712.16	$891.36	$1,272.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.20 / $76.20 / $217.00	Facility	AS	$76.20	$76.20	$217.00
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