Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.56 / $9,674.00 / $22,788.00	Facility		$1,319.56	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.00 / $9,106.31 / $19,574.00	Facility		$3,917.00	$9,106.31	$19,574.00
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 $150.55 / $150.55 / $150.55	Facility	AS	$150.55	$150.55	$150.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $578.17 / $874.96 / $1,882.50	Professional		$578.17	$874.96	$1,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.41 / $1,603.11 / $2,949.73	Professional		$1,230.41	$1,603.11	$2,949.73
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $127.37 / $160.61 / $500.00	Professional	80	$127.37	$160.61	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $127.37 / $127.37 / $160.61	Professional	AS	$127.37	$127.37	$160.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,138.32 / $12,417.92	Facility		$55.00	$12,138.32	$12,417.92
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.23 / $614.61 / $649.38	Facility	AS	$262.23	$614.61	$649.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.66 / $1,591.24 / $2,206.82	Facility		$1,132.66	$1,591.24	$2,206.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $514.95 / $514.95 / $514.95	Facility	80	$514.95	$514.95	$514.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $150.55 / $150.55 / $437.71	Facility	AS	$150.55	$150.55	$437.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00