Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,743.00 / $20,509.00	Facility		$2,700.00	$8,743.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.00 / $8,924.48 / $21,136.00	Facility		$2,684.00	$8,924.48	$21,136.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,151.00 / $13,577.00	Facility		$633.00	$2,151.00	$13,577.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $216.98	Facility	AS	$216.98	$216.98	$216.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.50 / $2,138.01 / $2,779.41	Professional		$1,447.50	$2,138.01	$2,779.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,794.47 / $2,345.60 / $4,489.53	Professional		$1,794.47	$2,345.60	$4,489.53
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $318.61 / $401.80 / $500.00	Professional	80	$318.61	$401.80	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $318.62 / $318.62 / $401.80	Professional	AS	$318.62	$318.62	$401.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $14,349.52 / $18,054.56	Facility		$2,800.00	$14,349.52	$18,054.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $376.94 / $882.55 / $947.08	Facility	AS	$376.94	$882.55	$947.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,842.41 / $2,392.63 / $3,449.82	Facility		$1,842.41	$2,392.63	$3,449.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $741.20 / $741.20 / $741.20	Facility	80	$741.20	$741.20	$741.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $630.02	Facility	AS	$216.98	$216.98	$630.02
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