Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $9,690.00 / $22,788.00	Facility		$706.46	$9,690.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,978.00 / $13,326.00	Facility		$2,275.00	$6,978.00	$13,326.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,177.85	Facility		$67.90	$100.00	$5,177.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,337.00	Facility		$633.00	$766.00	$5,337.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $483.99 / $732.42 / $1,011.22	Professional		$483.99	$732.42	$1,011.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.28 / $852.14 / $1,609.27	Professional		$653.28	$852.14	$1,609.27
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $106.48 / $134.28 / $500.00	Professional	80	$106.48	$134.28	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $106.48 / $106.48 / $134.28	Professional	AS	$106.48	$106.48	$134.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,378.24 / $6,530.08	Facility		$55.00	$6,378.24	$6,530.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.79 / $382.77 / $382.77	Facility	AS	$155.79	$382.77	$382.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.18 / $871.04 / $1,314.21	Facility		$664.18	$871.04	$1,314.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.19 / $270.19 / $270.19	Facility	80	$270.19	$270.19	$270.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $229.66	Facility	AS	$79.00	$79.00	$229.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $7,120.00 / $15,471.00	Facility		$1,494.00	$7,120.00	$15,471.00