Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.22 / $9,674.00 / $22,788.00	Facility		$1,057.22	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,947.61 / $19,122.91	Facility		$3,765.00	$8,947.61	$19,122.91
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 $117.29 / $117.29 / $117.29	Facility	AS	$117.29	$117.29	$117.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $597.16 / $903.70 / $1,471.52	Professional		$597.16	$903.70	$1,471.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.21 / $1,250.64 / $2,301.17	Professional		$960.21	$1,250.64	$2,301.17
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $131.46 / $131.46 / $165.78	Professional	AS	$131.46	$131.46	$165.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,458.79 / $9,673.12	Facility		$55.00	$9,458.79	$9,673.12
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $204.22 / $478.82 / $506.78	Facility	AS	$204.22	$478.82	$506.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.79 / $1,263.48 / $1,982.78	Facility		$998.79	$1,263.48	$1,982.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $117.29 / $117.29 / $340.40	Facility	AS	$117.29	$117.29	$340.40
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