Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,357.00 / $17,902.00	Facility		$1,539.00	$6,357.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,919.63	Facility		$67.90	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,766.05 / $4,917.14	Facility		$535.00	$1,766.05	$4,917.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $775.91 / $853.50 / $1,960.02	Professional		$775.91	$853.50	$1,960.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.85 / $846.91 / $1,319.05	Professional		$646.85	$846.91	$1,319.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,842.58 / $7,929.30 / $16,394.00	Facility		$3,842.58	$7,929.30	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.66 / $751.59 / $751.59	Facility	AS	$156.66	$751.59	$751.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.47 / $841.43 / $1,241.46	Facility		$626.47	$841.43	$1,241.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $223.66	Facility	AS	$77.44	$77.44	$223.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,385.54 / $9,606.00 / $21,278.00	Facility		$2,385.54	$9,606.00	$21,278.00