Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,544.00 / $20,135.00	Facility		$2,387.00	$8,544.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,770.00 / $22,895.00	Facility		$3,585.00	$11,770.00	$22,895.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,769.32	Facility		$66.00	$100.00	$5,769.32
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 $810.72 / $934.20 / $1,261.17	Professional		$810.72	$934.20	$1,261.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.78 / $1,074.35 / $1,909.31	Professional		$840.78	$1,074.35	$1,909.31
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 $55.00 / $5,434.52 / $12,623.50	Facility		$55.00	$5,434.52	$12,623.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $189.31 / $1,196.53 / $1,196.53	Facility	AS	$189.31	$1,196.53	$1,196.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.73 / $1,090.52 / $1,768.50	Facility		$856.73	$1,090.52	$1,768.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $321.20 / $321.20 / $321.20	Facility	80	$321.20	$321.20	$321.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $273.02 / $273.02 / $273.02	Facility	AS	$273.02	$273.02	$273.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00