Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,639.00 / $20,728.64	Facility		$2,421.00	$9,639.00	$20,728.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $8,484.00 / $18,150.00	Facility		$1,700.00	$8,484.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,407.14	Facility		$67.90	$100.00	$11,407.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,461.93 / $9,842.49	Facility		$732.00	$3,461.93	$9,842.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $1,283.65 / $1,732.93	Professional		$337.30	$1,283.65	$1,732.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.92 / $1,350.94 / $2,551.21	Professional		$1,027.92	$1,350.94	$2,551.21
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $74.13 / $93.48 / $500.00	Professional	80	$74.13	$93.48	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $74.13 / $74.13 / $93.48	Professional	AS	$74.13	$74.13	$93.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,804.94 / $16,547.20 / $26,542.00	Facility		$5,804.94	$16,547.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $241.78 / $1,568.44 / $1,568.44	Facility	AS	$241.78	$1,568.44	$1,568.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.00 / $1,296.90 / $2,053.84	Facility		$858.00	$1,296.90	$2,053.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $408.31 / $408.31 / $408.31	Facility	80	$408.31	$408.31	$408.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $347.06	Facility	AS	$118.18	$118.18	$347.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,228.00 / $26,109.00	Facility		$2,673.00	$11,228.00	$26,109.00