Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $22,788.00	Facility		$2,616.00	$8,870.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $9,030.00 / $17,774.00	Facility		$3,445.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $6,894.76 / $12,348.83	Facility		$6,500.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $959.42 / $1,417.15 / $1,913.15	Professional		$959.42	$1,417.15	$1,913.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.42 / $1,620.86 / $2,945.36	Professional		$1,175.42	$1,620.86	$2,945.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $13,433.20 / $19,913.50	Facility		$6,500.00	$13,433.20	$19,913.50
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,751.73 / $11,796.97 / $11,796.97	Facility	62	$1,751.73	$11,796.97	$11,796.97
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $280.27 / $1,887.52 / $1,887.52	Facility	AS	$280.27	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,310.54 / $1,616.12 / $2,502.08	Facility		$1,310.54	$1,616.12	$2,502.08
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $913.41 / $913.41 / $1,921.18	Facility	62	$913.41	$913.41	$1,921.18
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $491.82 / $491.82 / $491.82	Facility	80	$491.82	$491.82	$491.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $146.15 / $146.15 / $418.05	Facility	AS	$146.15	$146.15	$418.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $14,160.00 / $33,317.00	Facility		$7,212.00	$14,160.00	$33,317.00