Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.92 / $6,695.00 / $18,252.00	Facility		$1,225.92	$6,695.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,652.00 / $11,400.00	Facility		$1,000.00	$5,652.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $100.00 / $5,487.53	Facility		$67.30	$100.00	$5,487.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,557.69 / $13,577.00	Facility		$611.00	$1,557.69	$13,577.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $20.84 / $20.84	Facility	AS	$20.84	$20.84	$20.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $192.61 / $250.39	Professional		$152.27	$192.61	$250.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $220.49 / $407.62	Professional		$166.75	$220.49	$407.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $576.70 / $880.08	Facility		$55.00	$576.70	$880.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $36.36 / $84.92 / $88.01	Facility	AS	$36.36	$84.92	$88.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.68 / $224.58 / $351.99	Facility		$174.68	$224.58	$351.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $20.84 / $61.27	Facility	AS	$20.84	$20.84	$61.27
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,448.00 / $6,323.00	Facility		$371.00	$1,448.00	$6,323.00