Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,332.54 / $21,877.62	Facility		$3,715.35	$9,332.54	$21,877.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $6,456.54 / $8,128.31	Facility	50	$5,128.61	$6,456.54	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $12,022.64	Facility		$54.95	$89.13	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,981.07	Facility		$3,388.44	$3,388.44	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,698.24	Professional		$912.01	$1,258.93	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,570.40	Professional		$1,047.13	$1,380.38	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,135.61	Facility		$54.95	$56.23	$15,135.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	AS	$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,290.87	Facility		$1,148.15	$1,513.56	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96