Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $8,183.00 / $18,827.00	Facility		$2,843.00	$8,183.00	$18,827.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $11,723.00 / $22,417.00	Facility		$4,644.00	$11,723.00	$22,417.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $6,894.76 / $12,348.83	Facility		$5,980.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $868.20 / $1,144.39 / $4,922.37	Professional		$868.20	$1,144.39	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.79 / $1,291.38 / $2,279.31	Professional		$929.79	$1,291.38	$2,279.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,654.00 / $19,913.50	Facility		$1,400.00	$4,654.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $226.14 / $1,887.52 / $1,887.52	Facility	AS	$226.14	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,020.36 / $1,274.33 / $1,737.99	Facility		$1,020.36	$1,274.33	$1,737.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.77 / $111.77 / $323.36	Facility	AS	$111.77	$111.77	$323.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,407.00 / $28,973.00	Facility		$6,366.00	$13,407.00	$28,973.00