Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,641.00 / $9,005.00 / $21,960.90	Facility		$3,641.00	$9,005.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,969.00 / $9,804.54 / $12,117.00	Professional		$4,969.00	$9,804.54	$12,117.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,362.00 / $15,399.00	Facility		$3,242.00	$7,362.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $7,062.99 / $27,548.59	Facility		$92.60	$7,062.99	$27,548.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,038.17 / $7,136.02 / $16,811.84	Facility		$6,038.17	$7,136.02	$16,811.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,701.38 / $6,701.38 / $7,036.45	Professional		$6,701.38	$6,701.38	$7,036.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,038.17 / $7,136.02 / $9,804.54	Facility		$6,038.17	$7,136.02	$9,804.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,206.00 / $16,148.00	Facility		$3,867.00	$7,206.00	$16,148.00