Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $7,206.00 / $19,179.08	Facility		$1,587.51	$7,206.00	$19,179.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $7,007.00 / $15,529.00	Facility		$1,450.00	$7,007.00	$15,529.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $8,208.49	Facility		$67.90	$100.00	$8,208.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $3,461.93 / $10,261.32	Facility		$520.00	$3,461.93	$10,261.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $47.01 / $47.01	Facility	AS	$47.01	$47.01	$47.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $406.18 / $487.42 / $768.33	Professional		$406.18	$487.42	$768.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.93 / $523.96 / $991.46	Professional		$398.93	$523.96	$991.46
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.28 / $112.59 / $500.00	Professional	80	$89.28	$112.59	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $89.28 / $89.28 / $112.59	Professional	AS	$89.28	$89.28	$112.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,321.64 / $16,547.20 / $26,542.00	Facility		$2,321.64	$16,547.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $95.80 / $1,568.44 / $1,568.44	Facility	AS	$95.80	$1,568.44	$1,568.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.90 / $583.50 / $1,033.53	Facility		$432.90	$583.50	$1,033.53
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $158.03 / $158.03 / $158.03	Facility	80	$158.03	$158.03	$158.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $47.01 / $134.33	Facility	AS	$47.01	$47.01	$134.33
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