Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $6,695.00 / $19,006.99	Facility		$2,700.00	$6,695.00	$19,006.99
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 / $8,389.08	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 $415.86 / $654.46 / $883.52	Professional		$415.86	$654.46	$883.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.28 / $736.00 / $1,315.80	Professional		$538.28	$736.00	$1,315.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,095.16 / $8,957.00 / $26,542.00	Facility		$2,095.16	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $129.44 / $849.00 / $849.00	Facility	AS	$129.44	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.09 / $762.04 / $1,233.83	Facility		$598.09	$762.04	$1,233.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $213.66 / $213.66 / $213.66	Facility	80	$213.66	$213.66	$213.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $63.23 / $63.23 / $181.61	Facility	AS	$63.23	$63.23	$181.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,749.16 / $9,758.00 / $21,278.00	Facility		$4,749.16	$9,758.00	$21,278.00