Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,011.00 / $20,509.00	Facility		$1,992.00	$8,011.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,441.00 / $18,150.00	Facility		$1,800.00	$8,441.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,707.12	Facility		$67.90	$100.00	$19,707.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.60 / $2,364.98 / $5,927.32	Facility		$664.60	$2,364.98	$5,927.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $652.92 / $881.46	Professional		$414.74	$652.92	$881.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.61 / $715.48 / $1,314.00	Professional		$548.61	$715.48	$1,314.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $91.32 / $115.17 / $500.00	Professional	80	$91.32	$115.17	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $91.32 / $91.32 / $115.17	Professional	AS	$91.32	$91.32	$115.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,760.60 / $9,558.29 / $26,542.00	Facility		$2,760.60	$9,558.29	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $130.74 / $905.99 / $905.99	Facility	AS	$130.74	$905.99	$905.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.74 / $757.69 / $1,206.69	Facility		$578.74	$757.69	$1,206.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $225.87 / $225.87 / $225.87	Facility	80	$225.87	$225.87	$225.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $191.99	Facility	AS	$66.25	$66.25	$191.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,825.00 / $9,291.00 / $20,988.00	Facility		$1,825.00	$9,291.00	$20,988.00