Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.60 / $9,674.00 / $22,788.00	Facility		$1,203.60	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $10,524.00 / $24,057.00	Facility		$2,143.00	$10,524.00	$24,057.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $973.19 / $1,219.78 / $1,585.71	Professional		$973.19	$1,219.78	$1,585.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.27 / $1,356.36 / $2,571.86	Professional		$1,040.27	$1,356.36	$2,571.86
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $214.18 / $214.18 / $500.00	Professional	80	$214.18	$214.18	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $214.18 / $214.18 / $214.18	Professional	AS	$214.18	$214.18	$214.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,296.48 / $10,564.72	Facility		$55.00	$10,296.48	$10,564.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $222.74 / $521.66 / $549.03	Facility	AS	$222.74	$521.66	$549.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.08 / $1,387.03 / $1,957.89	Facility		$1,085.08	$1,387.03	$1,957.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $439.79 / $439.79 / $439.79	Facility	80	$439.79	$439.79	$439.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $373.82	Facility	AS	$128.13	$128.13	$373.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $6,108.00 / $18,709.00	Facility		$1,671.00	$6,108.00	$18,709.00