Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $9,674.00 / $22,788.00	Facility		$82.99	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $4,142.00 / $9,119.00	Facility		$700.00	$4,142.00	$9,119.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,487.90	Facility		$64.40	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $717.60 / $2,151.00	Facility		$94.88	$717.60	$2,151.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	AS	$9.25	$9.25	$9.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $95.92 / $117.72	Professional		$87.20	$95.92	$117.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $98.29 / $203.00	Professional		$75.42	$98.29	$203.00
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 / $305.24 / $4,277.30	Facility		$55.00	$305.24	$4,277.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $16.14 / $37.69 / $39.47	Facility	AS	$16.14	$37.69	$39.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $104.64 / $165.72	Facility		$78.26	$104.64	$165.72
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	80	$31.61	$31.61	$31.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $9.25 / $9.25 / $26.87	Facility	AS	$9.25	$9.25	$26.87
United Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $1,485.00 / $7,935.00	Facility		$446.00	$1,485.00	$7,935.00