Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.27 / $9,674.00 / $22,788.00	Facility		$1,024.27	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,303.00 / $16,460.00	Facility		$2,402.00	$7,303.00	$16,460.00
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 $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $713.33 / $1,079.47 / $1,420.97	Professional		$713.33	$1,079.47	$1,420.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.43 / $1,202.85 / $1,858.19	Professional		$919.43	$1,202.85	$1,858.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $156.85 / $156.85 / $197.80	Professional	AS	$156.85	$156.85	$197.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,902.86 / $8,121.05	Facility		$55.00	$7,902.86	$8,121.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $193.71 / $453.09 / $485.26	Facility	AS	$193.71	$453.09	$485.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.29 / $1,217.81 / $1,926.26	Facility		$962.29	$1,217.81	$1,926.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $111.55 / $322.16	Facility	AS	$111.55	$111.55	$322.16
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