Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,917.00 / $22,788.00	Facility		$2,197.85	$8,917.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $7,166.00 / $16,106.00	Facility		$1,611.00	$7,166.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $10,345.12	Facility		$67.90	$100.00	$10,345.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $4,270.41 / $13,360.00	Facility		$633.00	$4,270.41	$13,360.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $38.74 / $38.74	Facility	AS	$38.74	$38.74	$38.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $249.44 / $383.29 / $517.44	Professional		$249.44	$383.29	$517.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.41 / $420.43 / $801.00	Professional		$321.41	$420.43	$801.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $54.88 / $69.20 / $500.00	Professional	80	$54.88	$69.20	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $54.88 / $54.88 / $69.20	Professional	AS	$54.88	$54.88	$69.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,254.69 / $16,223.75 / $26,542.00	Facility		$2,254.69	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $76.94 / $1,537.78 / $1,537.78	Facility	AS	$76.94	$1,537.78	$1,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.41 / $442.59 / $787.28	Facility		$335.41	$442.59	$787.28
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $131.82 / $131.82 / $131.82	Facility	80	$131.82	$131.82	$131.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $38.74 / $112.05	Facility	AS	$38.74	$38.74	$112.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,707.00 / $26,451.00	Facility		$3,570.00	$11,707.00	$26,451.00