Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,560.00 / $21,960.90	Facility		$2,387.00	$9,560.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $8,971.00 / $19,298.00	Facility		$1,700.00	$8,971.00	$19,298.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $10,676.53	Facility		$67.90	$100.00	$10,676.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $2,364.98 / $5,927.32	Facility		$716.00	$2,364.98	$5,927.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $65.13 / $65.13	Facility	AS	$65.13	$65.13	$65.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $375.28 / $641.61 / $866.17	Professional		$375.28	$641.61	$866.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.66 / $703.62 / $1,299.00	Professional		$539.66	$703.62	$1,299.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $82.72 / $82.72 / $104.32	Professional	AS	$82.72	$82.72	$104.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,719.60 / $9,558.29 / $26,542.00	Facility		$2,719.60	$9,558.29	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.61 / $905.99 / $905.99	Facility	AS	$128.61	$905.99	$905.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.19 / $729.55 / $1,118.47	Facility		$561.19	$729.55	$1,118.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $65.13 / $188.49	Facility	AS	$65.13	$65.13	$188.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,825.00 / $9,032.00 / $20,988.00	Facility		$1,825.00	$9,032.00	$20,988.00