Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,598.23 / $20,509.00	Facility		$2,700.00	$8,598.23	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $9,323.00 / $20,369.00	Facility		$1,932.00	$9,323.00	$20,369.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $12,704.07	Facility		$67.90	$100.00	$12,704.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $13,577.00	Facility		$633.00	$900.00	$13,577.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $71.77 / $71.77	Facility	AS	$71.77	$71.77	$71.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.52 / $648.47 / $919.78	Professional		$428.52	$648.47	$919.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.88 / $776.15 / $1,418.10	Professional		$594.88	$776.15	$1,418.10
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $94.19 / $94.19 / $118.79	Professional	AS	$94.19	$94.19	$118.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $13,486.75	Facility		$2,800.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $142.47 / $1,279.44 / $1,279.44	Facility	AS	$142.47	$1,279.44	$1,279.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.57 / $801.30 / $1,227.29	Facility		$619.57	$801.30	$1,227.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $71.77 / $206.18	Facility	AS	$71.77	$71.77	$206.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,483.00 / $12,186.00 / $26,672.00	Facility		$3,483.00	$12,186.00	$26,672.00