Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,761.02 / $10,321.00 / $22,788.00	Facility		$2,761.02	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.10 / $9,771.00 / $21,405.00	Facility		$3,467.10	$9,771.00	$21,405.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
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 $346.01 / $346.01 / $346.01	Facility	AS	$346.01	$346.01	$346.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,878.25 / $2,842.36 / $4,275.88	Professional		$1,878.25	$2,842.36	$4,275.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,806.35 / $3,658.21 / $7,400.57	Professional		$2,806.35	$3,658.21	$7,400.57
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $413.21 / $500.00 / $521.10	Professional	80	$413.21	$500.00	$521.10
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $413.22 / $413.22 / $521.10	Professional	AS	$413.22	$413.22	$521.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,253.49 / $32,068.53	Facility		$55.00	$31,253.49	$32,068.53
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $601.19 / $1,408.15 / $1,481.13	Facility	AS	$601.19	$1,408.15	$1,481.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,926.57 / $3,684.47 / $5,262.62	Facility		$2,926.57	$3,684.47	$5,262.62
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,187.93 / $1,187.93 / $1,187.93	Facility	80	$1,187.93	$1,187.93	$1,187.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $346.01 / $346.01 / $1,009.74	Facility	AS	$346.01	$346.01	$1,009.74
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