Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $10,589.00 / $24,583.50	Facility		$3,940.00	$10,589.00	$24,583.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,360.00 / $24,456.00	Facility		$3,738.00	$12,360.00	$24,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $21,563.06	Facility		$66.00	$100.00	$21,563.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $12,122.00 / $14,932.00	Facility		$6,185.09	$12,122.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.65 / $1,087.99 / $1,468.79	Professional		$616.65	$1,087.99	$1,468.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.19 / $1,252.44 / $2,229.98	Professional		$979.19	$1,252.44	$2,229.98
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 $5,897.00 / $21,000.00 / $27,770.10	Facility		$5,897.00	$21,000.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.43 / $2,632.21 / $2,632.21	Facility	AS	$221.43	$2,632.21	$2,632.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.50 / $1,254.53 / $1,755.82	Facility		$996.50	$1,254.53	$1,755.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $374.26 / $374.26 / $374.26	Facility	80	$374.26	$374.26	$374.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $318.12 / $318.12 / $318.12	Facility	AS	$318.12	$318.12	$318.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,312.00	Facility		$7,696.00	$13,797.00	$29,312.00