Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,264.00 / $17,380.00	Facility		$2,020.00	$6,264.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,431.40	Facility		$66.00	$100.00	$7,431.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,903.10 / $4,612.76 / $10,867.25	Facility		$3,903.10	$4,612.76	$10,867.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $939.00 / $1,408.50	Professional		$744.60	$939.00	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.30 / $1,068.35 / $1,936.90	Professional		$831.30	$1,068.35	$1,936.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,810.78 / $16,394.00 / $17,524.30	Facility		$8,810.78	$16,394.00	$17,524.30
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,138.55 / $10,381.59 / $10,381.59	Facility	62	$1,138.55	$10,381.59	$10,381.59
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $182.17 / $1,661.06 / $1,661.06	Facility	AS	$182.17	$1,661.06	$1,661.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.69 / $1,071.40 / $1,679.90	Facility		$854.69	$1,071.40	$1,679.90
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,260.21 / $1,260.21 / $1,260.21	Facility	62	$1,260.21	$1,260.21	$1,260.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $274.22 / $274.22 / $274.22	Facility	AS	$274.22	$274.22	$274.22
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