Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,095.04 / $9,665.00 / $21,258.00	Facility		$3,095.04	$9,665.00	$21,258.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $966.19 / $1,304.35	Professional		$709.38	$966.19	$1,304.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.57 / $1,111.91 / $1,977.95	Professional		$869.57	$1,111.91	$1,977.95
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 $4,027.75 / $12,623.50 / $26,542.00	Facility		$4,027.75	$12,623.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $196.59 / $1,196.53 / $1,196.53	Facility	AS	$196.59	$1,196.53	$1,196.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.03 / $1,142.90 / $1,706.85	Facility		$881.03	$1,142.90	$1,706.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $333.53 / $333.53 / $333.53	Facility	80	$333.53	$333.53	$333.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $283.50 / $283.50 / $283.50	Facility	AS	$283.50	$283.50	$283.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00