Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.50 / $6,695.00 / $19,860.00	Facility		$2,002.50	$6,695.00	$19,860.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,620.96 / $6,599.70 / $18,699.68	Facility	50	$2,620.96	$6,599.70	$18,699.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,311.00 / $18,150.00	Facility		$3,204.00	$9,311.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,924.67	Facility		$66.00	$100.00	$8,924.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,010.20 / $4,739.33 / $11,165.45	Facility		$4,010.20	$4,739.33	$11,165.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $889.88 / $1,201.33	Professional		$505.96	$889.88	$1,201.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.20 / $1,012.96 / $1,810.72	Professional		$779.20	$1,012.96	$1,810.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,262.34 / $18,005.20 / $26,542.00	Facility		$4,262.34	$18,005.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.77 / $1,706.64 / $1,706.64	Facility	AS	$173.77	$1,706.64	$1,706.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $827.44 / $1,095.21 / $1,575.03	Facility		$827.44	$1,095.21	$1,575.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $245.94 / $245.94 / $245.94	Facility	AS	$245.94	$245.94	$245.94
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,784.00 / $32,191.00	Facility		$7,212.00	$13,784.00	$32,191.00