Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $21,960.90	Facility		$873.00	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $5,913.00 / $12,527.00	Facility		$2,399.48	$5,913.00	$12,527.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $302.50 / $406.55	Professional		$271.02	$302.50	$406.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $329.80 / $599.50	Professional		$237.46	$329.80	$599.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,476.34 / $4,137.14 / $5,000.00	Facility		$3,476.34	$4,137.14	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $51.55 / $120.96 / $125.32	Facility	AS	$51.55	$120.96	$125.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $333.03 / $535.65	Facility		$274.91	$333.03	$535.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $100.34 / $100.34 / $100.34	Facility	80	$100.34	$100.34	$100.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $29.68 / $29.68 / $85.29	Facility	AS	$29.68	$29.68	$85.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00