Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $6,264.00 / $17,809.00	Facility		$2,134.00	$6,264.00	$17,809.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $14,341.00	Facility		$2,143.00	$6,048.00	$14,341.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,859.08	Facility		$66.00	$100.00	$8,859.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,487.15 / $15,939.36 / $37,551.75	Facility		$13,487.15	$15,939.36	$37,551.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $929.94 / $1,408.50	Professional		$744.60	$929.94	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $755.82 / $972.21 / $1,754.46	Professional		$755.82	$972.21	$1,754.46
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 $4,857.72 / $16,394.00 / $60,555.25	Facility		$4,857.72	$16,394.00	$60,555.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.39 / $5,739.78 / $5,739.78	Facility	AS	$172.39	$5,739.78	$5,739.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.40 / $1,071.97 / $1,805.50	Facility		$831.40	$1,071.97	$1,805.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.04 / $283.04 / $283.04	Facility	80	$283.04	$283.04	$283.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $240.59 / $240.59 / $240.59	Facility	AS	$240.59	$240.59	$240.59
United Facility/Professional Facility Modifier Low / Median / High Price $8,444.00 / $17,163.00 / $38,734.00	Facility		$8,444.00	$17,163.00	$38,734.00