Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,339.19 / $10,069.00 / $22,007.00	Facility		$3,339.19	$10,069.00	$22,007.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,484.00 / $18,150.00	Facility		$1,500.00	$8,484.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,707.12	Facility		$67.90	$100.00	$19,707.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.10 / $4,491.39 / $13,360.00	Facility		$657.10	$4,491.39	$13,360.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.17 / $65.17 / $65.17	Facility	AS	$65.17	$65.17	$65.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $649.92 / $877.41	Professional		$383.47	$649.92	$877.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.99 / $708.82 / $1,428.16	Professional		$542.99	$708.82	$1,428.16
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $84.36 / $106.39 / $500.00	Professional	80	$84.36	$106.39	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $84.36 / $84.36 / $106.39	Professional	AS	$84.36	$84.36	$106.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,342.32 / $16,223.75 / $26,542.00	Facility		$4,342.32	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.88 / $1,537.78 / $1,537.78	Facility	AS	$128.88	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $563.85 / $730.44 / $1,150.35	Facility		$563.85	$730.44	$1,150.35
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $222.40 / $222.40 / $222.40	Facility	80	$222.40	$222.40	$222.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.17 / $65.17 / $189.04	Facility	AS	$65.17	$65.17	$189.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,578.00 / $13,171.00 / $29,312.00	Facility		$4,578.00	$13,171.00	$29,312.00