Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $9,674.00 / $22,788.00	Facility		$141.12	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,303.00 / $16,460.00	Facility		$2,402.00	$7,303.00	$16,460.00
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 $160.57 / $750.00 / $5,431.00	Facility		$160.57	$750.00	$5,431.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $159.37 / $195.59	Professional		$144.88	$159.37	$195.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $165.24 / $351.14	Professional		$125.15	$165.24	$351.14
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $980.39 / $1,300.00	Facility		$55.00	$980.39	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $27.23 / $63.58 / $66.05	Facility	AS	$27.23	$63.58	$66.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.68 / $177.20 / $333.40	Facility		$134.68	$177.20	$333.40
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	80	$53.96	$53.96	$53.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $45.87	Facility	AS	$15.62	$15.62	$45.87
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