Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,537.00 / $20,135.00	Facility		$1,919.00	$6,537.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $8,589.00 / $18,030.00	Facility		$1,700.00	$8,589.00	$18,030.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $12,268.52	Facility		$67.90	$100.00	$12,268.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,766.05 / $5,647.00	Facility		$643.00	$1,766.05	$5,647.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.27 / $92.27 / $92.27	Facility	AS	$92.27	$92.27	$92.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $673.12 / $944.55 / $1,275.14	Professional		$673.12	$944.55	$1,275.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.54 / $1,021.81 / $1,882.00	Professional		$779.54	$1,021.81	$1,882.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $148.25 / $148.25 / $148.25	Professional	AS	$148.25	$148.25	$148.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $7,929.30	Facility		$55.00	$6,920.96	$7,929.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.65 / $751.59 / $751.59	Facility	AS	$186.65	$751.59	$751.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.87 / $1,039.39 / $1,605.50	Facility		$789.87	$1,039.39	$1,605.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.27 / $92.27 / $268.22	Facility	AS	$92.27	$92.27	$268.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,385.54 / $9,604.00 / $21,278.00	Facility		$2,385.54	$9,604.00	$21,278.00