Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,212.00 / $20,509.00	Facility		$1,956.72	$8,212.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $10,247.00 / $21,842.00	Facility		$2,822.00	$10,247.00	$21,842.00
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 $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,284.86	Professional		$421.82	$638.33	$1,284.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.17 / $1,098.90 / $2,023.63	Professional		$842.17	$1,098.90	$2,023.63
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 $55.00 / $7,293.30 / $7,437.36	Facility		$55.00	$7,293.30	$7,437.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $180.16 / $421.75 / $444.48	Facility	AS	$180.16	$421.75	$444.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.12 / $1,122.89 / $1,581.38	Facility		$879.12	$1,122.89	$1,581.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $299.89	Facility	AS	$102.94	$102.94	$299.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,692.00 / $9,451.00 / $21,278.00	Facility		$1,692.00	$9,451.00	$21,278.00