Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,176.00 / $18,150.00	Facility		$2,275.00	$7,176.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,237.33	Facility		$66.09	$100.00	$5,237.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.32 / $94.32 / $94.32	Facility	AS	$94.32	$94.32	$94.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $358.52 / $542.55 / $1,187.80	Professional		$358.52	$542.55	$1,187.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.44 / $1,007.44 / $1,851.83	Professional		$773.44	$1,007.44	$1,851.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $79.03 / $99.67 / $500.00	Professional	80	$79.03	$99.67	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $79.04 / $79.04 / $99.67	Professional	AS	$79.04	$79.04	$99.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,605.20 / $7,785.76	Facility		$55.00	$7,605.20	$7,785.76
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $164.06 / $384.81 / $408.21	Facility	AS	$164.06	$384.81	$408.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.10 / $1,020.50 / $1,417.98	Facility		$801.10	$1,020.50	$1,417.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $322.61 / $322.61 / $322.61	Facility	80	$322.61	$322.61	$322.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.32 / $94.32 / $274.22	Facility	AS	$94.32	$94.32	$274.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $3,928.00 / $9,131.00	Facility		$1,170.00	$3,928.00	$9,131.00