Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $9,697.00 / $22,007.00	Facility		$3,400.00	$9,697.00	$22,007.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,484.00 / $18,150.00	Facility		$1,500.00	$8,484.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $8,208.49	Facility		$67.90	$100.00	$8,208.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $920.00 / $13,577.00	Facility		$643.00	$920.00	$13,577.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.15 / $73.15 / $73.15	Facility	AS	$73.15	$73.15	$73.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $479.52 / $712.89 / $926.76	Professional		$479.52	$712.89	$926.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.61 / $784.40 / $1,487.39	Professional		$601.61	$784.40	$1,487.39
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $105.65 / $133.24 / $500.00	Professional	80	$105.65	$133.24	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $105.66 / $105.66 / $133.24	Professional	AS	$105.66	$105.66	$133.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $4,869.12 / $13,486.75	Facility		$2,800.00	$4,869.12	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.76 / $1,279.44 / $1,279.44	Facility	AS	$143.76	$1,279.44	$1,279.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.17 / $802.15 / $1,149.38	Facility		$626.17	$802.15	$1,149.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.15 / $250.15 / $250.15	Facility	80	$250.15	$250.15	$250.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.15 / $73.15 / $212.63	Facility	AS	$73.15	$73.15	$212.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $13,245.00 / $29,571.00	Facility		$4,169.00	$13,245.00	$29,571.00