Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.34 / $6,949.13 / $17,133.00	Facility		$2,151.34	$6,949.13	$17,133.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,341.50 / $8,136.36 / $25,449.89	Facility	50	$2,341.50	$8,136.36	$25,449.89
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $4,148.00 / $4,148.00 / $4,148.00	Facility	80	$4,148.00	$4,148.00	$4,148.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.66 / $4,004.78 / $9,434.92	Facility		$3,388.66	$4,004.78	$9,434.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $762.84 / $1,055.86 / $1,425.42	Professional		$762.84	$1,055.86	$1,425.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.28 / $1,216.91 / $2,198.13	Professional		$950.28	$1,216.91	$2,198.13
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,590.04 / $15,214.55 / $26,542.00	Facility		$3,590.04	$15,214.55	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $212.10 / $1,442.13 / $1,442.13	Facility	AS	$212.10	$1,442.13	$1,442.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.54 / $1,195.38 / $1,702.43	Facility		$948.54	$1,195.38	$1,702.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $367.58 / $367.58 / $367.58	Facility	80	$367.58	$367.58	$367.58
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $312.44 / $312.44 / $312.44	Facility	AS	$312.44	$312.44	$312.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00