Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,199.14 / $7,765.00 / $19,484.00	Facility		$2,199.14	$7,765.00	$19,484.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,038.53 / $8,496.00 / $21,456.38	Facility	50	$3,038.53	$8,496.00	$21,456.38
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 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,717.37 / $7,938.71 / $18,702.91	Facility		$6,717.37	$7,938.71	$18,702.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $708.86 / $1,372.90 / $1,853.42	Professional		$708.86	$1,372.90	$1,853.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.81 / $1,531.34 / $2,826.75	Professional		$1,190.81	$1,531.34	$2,826.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,487.20 / $26,542.00 / $30,159.95	Facility		$6,487.20	$26,542.00	$30,159.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.17 / $2,858.74 / $2,858.74	Facility	AS	$265.17	$2,858.74	$2,858.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,302.95 / $1,706.14 / $2,461.27	Facility		$1,302.95	$1,706.14	$2,461.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $374.80 / $374.80 / $374.80	Facility	AS	$374.80	$374.80	$374.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $32,191.00	Facility		$7,696.00	$13,784.00	$32,191.00