Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.64 / $9,674.00 / $22,788.00	Facility		$1,549.64	$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 $175.15 / $175.15 / $175.15	Facility	AS	$175.15	$175.15	$175.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $2,186.08	Professional		$843.26	$1,276.09	$2,186.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.75 / $1,863.08 / $3,534.91	Professional		$1,429.75	$1,863.08	$3,534.91
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $185.51 / $233.95 / $500.00	Professional	80	$185.51	$233.95	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $185.52 / $185.52 / $233.95	Professional	AS	$185.52	$185.52	$233.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,877.26 / $16,251.21	Facility		$55.00	$15,877.26	$16,251.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $304.95 / $714.67 / $754.59	Facility	AS	$304.95	$714.67	$754.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,490.46 / $1,911.00 / $2,668.92	Facility		$1,490.46	$1,911.00	$2,668.92
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $598.33 / $598.33 / $598.33	Facility	80	$598.33	$598.33	$598.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $175.15 / $175.15 / $508.58	Facility	AS	$175.15	$175.15	$508.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00