Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,212.00 / $20,509.00	Facility		$1,956.72	$8,212.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,441.00 / $18,150.00	Facility		$1,500.00	$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 $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $396.87 / $699.71 / $944.61	Professional		$396.87	$699.71	$944.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.92 / $767.83 / $1,416.14	Professional		$588.92	$767.83	$1,416.14
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $87.23 / $110.00 / $500.00	Professional	80	$87.23	$110.00	$500.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $87.23 / $87.23 / $110.00	Professional	AS	$87.23	$87.23	$110.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,969.55 / $9,558.29 / $26,542.00	Facility		$2,969.55	$9,558.29	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.50 / $905.99 / $905.99	Facility	AS	$140.50	$905.99	$905.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.42 / $796.43 / $1,365.90	Facility		$613.42	$796.43	$1,365.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $243.47 / $243.47 / $243.47	Facility	80	$243.47	$243.47	$243.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $206.95	Facility	AS	$71.20	$71.20	$206.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $8,960.00 / $20,495.00	Facility		$3,309.00	$8,960.00	$20,495.00