Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.18 / $9,674.00 / $22,788.00	Facility		$1,379.18	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $9,232.17 / $19,252.00	Facility		$2,675.00	$9,232.17	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,367.09	Facility		$66.09	$100.00	$5,367.09
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 $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.94 / $794.40 / $1,932.41	Professional		$524.94	$794.40	$1,932.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.39 / $1,658.38 / $3,055.00	Professional		$1,270.39	$1,658.38	$3,055.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $115.49 / $145.63 / $500.00	Professional	80	$115.49	$145.63	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $115.49 / $115.49 / $145.63	Professional	AS	$115.49	$115.49	$145.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,605.20 / $12,915.92	Facility		$55.00	$12,605.20	$12,915.92
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $272.77 / $638.23 / $670.48	Facility	AS	$272.77	$638.23	$670.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.08 / $1,648.62 / $2,293.58	Facility		$1,151.08	$1,648.62	$2,293.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $537.69 / $537.69 / $537.69	Facility	80	$537.69	$537.69	$537.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $156.62 / $156.62 / $457.04	Facility	AS	$156.62	$156.62	$457.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,166.00 / $7,274.00 / $15,471.00	Facility		$2,166.00	$7,274.00	$15,471.00