Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.13 / $6,264.00 / $21,859.00	Facility		$1,462.13	$6,264.00	$21,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,124.00 / $3,124.00 / $12,369.00	Facility	50	$3,124.00	$3,124.00	$12,369.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $10,377.87	Facility		$66.70	$100.00	$10,377.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $376.40 / $501.20 / $676.62	Professional		$376.40	$501.20	$676.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.72 / $576.38 / $1,036.66	Professional		$450.72	$576.38	$1,036.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,094.80 / $8,723.79	Facility		$55.00	$2,094.80	$8,723.79
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $99.81 / $826.90 / $826.90	Facility	AS	$99.81	$826.90	$826.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $563.66 / $801.92	Facility		$437.75	$563.66	$801.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $145.13 / $145.13 / $145.13	Facility	AS	$145.13	$145.13	$145.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00