Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,710.00 / $17,701.00	Facility		$1,335.00	$5,710.00	$17,701.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $750.37 / $16,402.87 / $20,445.43	Facility	50	$750.37	$16,402.87	$20,445.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,591.57	Facility		$66.00	$100.00	$5,591.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.15 / $647.91 / $1,015.21	Professional		$428.15	$647.91	$1,015.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.67 / $858.69 / $1,532.88	Professional		$660.67	$858.69	$1,532.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,413.08 / $8,723.79 / $12,000.00	Facility		$2,413.08	$8,723.79	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $803.24 / $1,203.22	Facility		$571.29	$803.24	$1,203.22
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