Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.83 / $9,684.00 / $22,788.00	Facility		$852.83	$9,684.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,494.28 / $15,202.00	Facility		$2,143.00	$6,494.28	$15,202.00
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 $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 $95.41 / $95.41 / $95.41	Facility	AS	$95.41	$95.41	$95.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $408.41 / $772.56 / $1,224.21	Professional		$408.41	$772.56	$1,224.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.62 / $1,030.27 / $1,695.06	Professional		$789.62	$1,030.27	$1,695.06
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 / $7,697.92 / $7,886.80	Facility		$55.00	$7,697.92	$7,886.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.46 / $388.90 / $416.75	Facility	AS	$165.46	$388.90	$416.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.07 / $1,033.06 / $1,447.64	Facility		$784.07	$1,033.06	$1,447.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $326.20 / $326.20 / $326.20	Facility	80	$326.20	$326.20	$326.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $95.41 / $95.41 / $277.27	Facility	AS	$95.41	$95.41	$277.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $7,106.00 / $15,471.00	Facility		$1,170.00	$7,106.00	$15,471.00