Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,413.10 / $17,782.79	Facility		$2,630.27	$7,413.10	$17,782.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $6,309.57 / $22,908.68	Facility	50	$2,884.03	$6,309.57	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $11,748.98	Facility		$66.07	$4,168.69	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,786.30	Facility		$3,981.07	$3,981.07	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,047.13	Professional		$501.19	$758.58	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,698.24	Professional		$660.69	$891.25	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $45,708.82 / $45,708.82	Facility		$18,197.01	$45,708.82	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	AS	$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,737.80	Facility		$776.25	$1,096.48	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $30,199.52	Facility		$7,762.47	$14,125.38	$30,199.52