Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.00 / $8,830.00 / $22,007.00	Facility		$1,537.00	$8,830.00	$22,007.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $10,612.00 / $24,301.00	Facility		$1,988.00	$10,612.00	$24,301.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $10,359.00	Facility		$67.90	$100.00	$10,359.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $4,270.41 / $13,360.00	Facility		$633.00	$4,270.41	$13,360.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.49 / $413.14 / $557.74	Professional		$259.49	$413.14	$557.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $453.63 / $829.29	Professional		$347.68	$453.63	$829.29
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $56.93 / $71.79 / $500.00	Professional	80	$56.93	$71.79	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $56.93 / $56.93 / $71.79	Professional	AS	$56.93	$56.93	$71.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,450.77 / $16,223.75 / $26,542.00	Facility		$2,450.77	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $83.27 / $1,537.78 / $1,537.78	Facility	AS	$83.27	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.57 / $478.99 / $863.79	Facility		$362.57	$478.99	$863.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $143.63 / $143.63 / $143.63	Facility	80	$143.63	$143.63	$143.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $122.09	Facility	AS	$42.13	$42.13	$122.09
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