Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,775.00 / $17,775.00 / $17,775.00	Facility	50	$17,775.00	$17,775.00	$17,775.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,738.49 / $2,743.34 / $4,904.76	Facility		$2,738.49	$2,743.34	$4,904.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $493.43 / $729.60	Professional		$385.70	$493.43	$729.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.26 / $537.92 / $963.75	Professional		$394.26	$537.92	$963.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,217.66 / $7,909.30 / $26,542.00	Facility		$2,217.66	$7,909.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $408.10 / $519.11 / $816.20	Facility		$408.10	$519.11	$816.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00