Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.00 / $5,710.00 / $17,538.00	Facility		$1,595.00	$5,710.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $10,099.00 / $20,369.00	Facility		$3,403.00	$10,099.00	$20,369.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,282.23	Facility		$66.00	$100.00	$7,282.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,841.78 / $25,813.01 / $50,000.00	Facility		$21,841.78	$25,813.01	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $634.03 / $858.32 / $1,199.33	Professional		$634.03	$858.32	$1,199.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.01 / $987.07 / $1,774.13	Professional		$763.01	$987.07	$1,774.13
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 $4,892.37 / $12,000.00 / $98,066.20	Facility		$4,892.37	$12,000.00	$98,066.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.79 / $9,295.29 / $9,295.29	Facility	AS	$173.79	$9,295.29	$9,295.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.36 / $1,086.90 / $1,918.71	Facility		$866.36	$1,086.90	$1,918.71
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $284.45 / $284.45 / $284.45	Facility	80	$284.45	$284.45	$284.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.79 / $241.79 / $241.79	Facility	AS	$241.79	$241.79	$241.79
United Facility/Professional Facility Modifier Low / Median / High Price $10,623.00 / $20,553.00 / $51,239.00	Facility		$10,623.00	$20,553.00	$51,239.00