Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.73 / $9,674.00 / $22,788.00	Facility		$119.73	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $6,264.00 / $14,341.00	Facility		$2,097.00	$6,264.00	$14,341.00
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 $136.38 / $750.00 / $5,431.00	Facility		$136.38	$750.00	$5,431.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $124.69 / $168.33	Professional		$100.52	$124.69	$168.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $141.13 / $275.00	Professional		$107.24	$141.13	$275.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $22.11 / $27.89 / $500.00	Professional	80	$22.11	$27.89	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.11 / $22.11 / $27.89	Professional	AS	$22.11	$22.11	$27.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $369.09 / $1,300.00	Facility		$55.00	$369.09	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.21 / $54.19 / $56.60	Facility	AS	$23.21	$54.19	$56.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $145.93 / $233.90	Facility		$112.64	$145.93	$233.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $45.87 / $45.87 / $45.87	Facility	80	$45.87	$45.87	$45.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $38.99	Facility	AS	$13.27	$13.27	$38.99
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