Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,499.00 / $20,509.00	Facility		$1,956.72	$8,499.00	$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 / $9,665.25	Facility		$67.90	$100.00	$9,665.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.54 / $2,364.98 / $5,927.32	Facility		$654.54	$2,364.98	$5,927.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.65 / $64.65 / $64.65	Facility	AS	$64.65	$64.65	$64.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $636.60 / $859.41	Professional		$384.96	$636.60	$859.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.55 / $698.23 / $1,287.81	Professional		$535.55	$698.23	$1,287.81
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $84.78 / $84.78 / $106.91	Professional	AS	$84.78	$84.78	$106.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,699.70 / $9,558.29 / $26,542.00	Facility		$2,699.70	$9,558.29	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.63 / $905.99 / $905.99	Facility	AS	$127.63	$905.99	$905.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.91 / $728.96 / $1,115.73	Facility		$556.91	$728.96	$1,115.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.65 / $64.65 / $187.62	Facility	AS	$64.65	$64.65	$187.62
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