Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.50 / $7,146.30 / $22,788.00	Facility		$336.50	$7,146.30	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $4,343.00 / $30,857.00	Facility		$700.00	$4,343.00	$30,857.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $1,513.95 / $10,107.08	Facility		$95.10	$1,513.95	$10,107.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.76 / $4,851.82 / $9,650.08	Facility		$440.76	$4,851.82	$9,650.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.36 / $43.36 / $43.36	Facility	AS	$43.36	$43.36	$43.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $311.62 / $418.06 / $564.38	Professional		$311.62	$418.06	$564.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.29 / $438.96 / $868.00	Professional		$347.29	$438.96	$868.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,522.03 / $14,782.19 / $16,223.75	Facility		$2,522.03	$14,782.19	$16,223.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $84.82 / $1,478.22 / $1,537.78	Facility	AS	$84.82	$1,478.22	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.38 / $466.36 / $673.92	Facility		$363.38	$466.36	$673.92
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $148.65 / $148.65 / $148.65	Facility	80	$148.65	$148.65	$148.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $43.36 / $43.36 / $126.35	Facility	AS	$43.36	$43.36	$126.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,434.00 / $12,550.00 / $38,477.00	Facility		$2,434.00	$12,550.00	$38,477.00