Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,951.37 / $10,589.00 / $24,132.00	Facility		$3,951.37	$10,589.00	$24,132.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,697.00 / $22,145.00	Facility		$3,612.00	$11,697.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $16,129.57	Facility		$66.00	$100.00	$16,129.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,684.00 / $13,360.00 / $14,932.00	Facility		$11,684.00	$13,360.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $641.10 / $970.18 / $1,974.47	Professional		$641.10	$970.18	$1,974.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,480.85 / $1,894.00 / $3,432.84	Professional		$1,480.85	$1,894.00	$3,432.84
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $22,189.40	Facility		$2,800.00	$10,160.00	$22,189.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $339.50 / $2,105.03 / $2,105.03	Facility	AS	$339.50	$2,105.03	$2,105.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,530.55 / $1,899.24 / $2,708.49	Facility		$1,530.55	$1,899.24	$2,708.49
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $558.76 / $558.76 / $558.76	Facility	80	$558.76	$558.76	$558.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $474.95 / $474.95 / $474.95	Facility	AS	$474.95	$474.95	$474.95
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00