Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $9,721.00 / $22,788.00	Facility		$866.77	$9,721.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,689.00 / $24,301.00	Facility		$3,434.00	$11,689.00	$24,301.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $900.00 / $13,577.00	Facility		$611.00	$900.00	$13,577.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $160.08 / $208.10	Professional		$133.66	$160.08	$208.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $183.47 / $368.18	Professional		$138.71	$183.47	$368.18
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $29.49 / $29.49 / $500.00	Professional	80	$29.49	$29.49	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.49 / $29.49 / $29.49	Professional	AS	$29.49	$29.49	$29.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $378.13 / $732.07 / $2,800.00	Facility		$378.13	$732.07	$2,800.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $30.29 / $70.70 / $73.20	Facility	AS	$30.29	$70.70	$73.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $186.14 / $290.30	Facility		$147.85	$186.14	$290.30
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $60.13 / $60.13 / $60.13	Facility	80	$60.13	$60.13	$60.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $51.11	Facility	AS	$17.41	$17.41	$51.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00