Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,803.38 / $10,197.40 / $22,788.00	Facility		$1,803.38	$10,197.40	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,824.00 / $25,439.00	Facility		$3,434.00	$11,824.00	$25,439.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,719.51	Facility		$63.90	$100.00	$13,719.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,000.53 / $13,577.00	Facility		$633.00	$2,000.53	$13,577.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $887.56 / $1,343.15 / $2,509.57	Professional		$887.56	$1,343.15	$2,509.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,622.43 / $2,120.26 / $4,057.22	Professional		$1,622.43	$2,120.26	$4,057.22
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $195.35 / $195.35 / $246.35	Professional	AS	$195.35	$195.35	$246.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $12,996.72 / $16,328.64	Facility		$2,800.00	$12,996.72	$16,328.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $341.38 / $799.14 / $856.28	Facility	AS	$341.38	$799.14	$856.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,611.44 / $2,143.92 / $3,093.27	Facility		$1,611.44	$2,143.92	$3,093.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $570.39	Facility	AS	$196.33	$196.33	$570.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00