Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,710.00 / $9,153.00 / $22,263.00	Facility		$2,710.00	$9,153.00	$22,263.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,944.00 / $13,707.00	Facility		$1,450.00	$5,944.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $8,858.00	Facility		$69.80	$100.00	$8,858.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.01 / $4,270.41 / $13,360.00	Facility		$538.01	$4,270.41	$13,360.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $37.06 / $37.06	Facility	AS	$37.06	$37.06	$37.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $366.59 / $494.90	Professional		$234.18	$366.59	$494.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.85 / $403.25 / $761.42	Professional		$307.85	$403.25	$761.42
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $51.60 / $65.08 / $500.00	Professional	80	$51.60	$65.08	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.60 / $51.60 / $65.08	Professional	AS	$51.60	$51.60	$65.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,165.94 / $16,223.75 / $26,542.00	Facility		$2,165.94	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $73.48 / $1,537.78 / $1,537.78	Facility	AS	$73.48	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $422.27 / $725.40	Facility		$321.72	$422.27	$725.40
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $125.78 / $125.78 / $125.78	Facility	80	$125.78	$125.78	$125.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $37.06 / $106.92	Facility	AS	$37.06	$37.06	$106.92
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,686.00 / $6,686.00 / $6,686.00	Facility		$6,686.00	$6,686.00	$6,686.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,707.00 / $26,451.00	Facility		$3,570.00	$11,707.00	$26,451.00