Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.31 / $9,674.00 / $22,788.00	Facility		$1,593.31	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
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 $176.72 / $176.72 / $176.72	Facility	AS	$176.72	$176.72	$176.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.10 / $1,567.94 / $2,200.50	Professional		$1,036.10	$1,567.94	$2,200.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,440.76 / $1,881.93 / $3,521.85	Professional		$1,440.76	$1,881.93	$3,521.85
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $227.70 / $287.14 / $500.00	Professional	80	$227.70	$287.14	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $227.70 / $227.70 / $287.14	Professional	AS	$227.70	$227.70	$287.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,259.92 / $14,610.80	Facility		$55.00	$14,259.92	$14,610.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $307.88 / $720.28 / $760.40	Facility	AS	$307.88	$720.28	$760.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,452.80 / $1,888.63 / $3,000.83	Facility		$1,452.80	$1,888.63	$3,000.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $607.84 / $607.84 / $607.84	Facility	80	$607.84	$607.84	$607.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $176.72 / $176.72 / $516.66	Facility	AS	$176.72	$176.72	$516.66
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