Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,212.00 / $22,330.11	Facility		$1,992.00	$8,212.00	$22,330.11
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $327.96 / $388.05 / $2,191.55	Facility	52	$327.96	$388.05	$2,191.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.00 / $8,484.00 / $18,150.00	Facility		$2,619.00	$8,484.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,367.09	Facility		$66.70	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $8,996.00	Facility		$633.00	$766.00	$8,996.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,092.96	Professional		$421.82	$638.33	$1,092.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.88 / $925.32 / $1,747.67	Professional		$709.88	$925.32	$1,747.67
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $92.96 / $117.24 / $500.00	Professional	80	$92.96	$117.24	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $92.96 / $92.96 / $117.24	Professional	AS	$92.96	$92.96	$117.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $6,097.28 / $6,229.93	Facility		$2,000.00	$6,097.28	$6,229.93
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,200.90 / $2,816.91 / $2,997.29	Facility	52	$1,200.90	$2,816.91	$2,997.29
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.11 / $352.11 / $374.66	Facility	AS	$150.11	$352.11	$374.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.62 / $956.66 / $1,345.18	Facility		$739.62	$956.66	$1,345.18
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $294.48 / $294.48 / $294.48	Facility	80	$294.48	$294.48	$294.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $250.31	Facility	AS	$86.12	$86.12	$250.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,692.00 / $9,539.00 / $21,278.00	Facility		$1,692.00	$9,539.00	$21,278.00