Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,000.00 / $22,908.68	Facility		$3,548.13	$10,000.00	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $6,165.95	Facility		$64.57	$100.00	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $104.71	Professional		$77.62	$85.11	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $234.42	Professional		$66.07	$83.18	$234.42
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,265.80	Facility		$54.95	$56.23	$4,265.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	AS	$51.29	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $190.55	Facility		$75.86	$107.15	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,479.11 / $6,025.60	Facility		$416.87	$1,479.11	$6,025.60