Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.70 / $11,790.00 / $25,813.00	Facility		$1,937.70	$11,790.00	$25,813.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,241.88 / $10,021.00 / $21,405.00	Facility		$4,241.88	$10,021.00	$21,405.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $6,869.00	Facility		$633.00	$900.00	$6,869.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $219.00 / $219.00 / $219.00	Facility	AS	$219.00	$219.00	$219.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.96 / $2,305.57 / $2,829.56	Professional		$2,095.96	$2,305.57	$2,829.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,786.71 / $2,341.46 / $4,367.51	Professional		$1,786.71	$2,341.46	$4,367.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,507.28 / $27,063.48	Facility		$55.00	$26,507.28	$27,063.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $382.31 / $895.72 / $942.98	Facility	AS	$382.31	$895.72	$942.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.71 / $2,411.71 / $3,510.00	Facility		$1,862.71	$2,411.71	$3,510.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $219.00 / $219.00 / $636.57	Facility	AS	$219.00	$219.00	$636.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00