Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $8,843.16 / $19,368.00	Facility		$2,231.07	$8,843.16	$19,368.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,125.81 / $6,395.99 / $8,147.66	Facility	50	$5,125.81	$6,395.99	$8,147.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,644.00 / $19,252.00	Facility		$3,403.00	$9,644.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $13,723.01	Facility		$64.40	$100.00	$13,723.01
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 $919.21 / $1,304.69 / $1,761.33	Professional		$919.21	$1,304.69	$1,761.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.22 / $1,502.02 / $2,698.50	Professional		$1,174.22	$1,502.02	$2,698.50
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 $5,897.00 / $5,897.00 / $15,214.55	Facility		$5,897.00	$5,897.00	$15,214.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $260.87 / $1,442.13 / $1,442.13	Facility	AS	$260.87	$1,442.13	$1,442.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,161.29 / $1,460.84 / $2,093.33	Facility		$1,161.29	$1,460.84	$2,093.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $453.41 / $453.41 / $453.41	Facility	80	$453.41	$453.41	$453.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $385.40 / $385.40 / $385.40	Facility	AS	$385.40	$385.40	$385.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00