Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $10,209.00 / $19,860.00	Facility		$2,616.00	$10,209.00	$19,860.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,894.00 / $7,894.00 / $7,894.00	Facility	50	$7,894.00	$7,894.00	$7,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $12,833.44	Facility		$66.90	$100.00	$12,833.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,346.84 / $16,740.62	Facility		$3,203.00	$9,346.84	$16,740.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $579.29 / $887.82 / $6,672.99	Professional		$579.29	$887.82	$6,672.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.68 / $986.32 / $1,772.01	Professional		$721.68	$986.32	$1,772.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,806.76 / $26,542.00 / $26,995.60	Facility		$2,806.76	$26,542.00	$26,995.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.43 / $2,558.80 / $2,558.80	Facility	AS	$171.43	$2,558.80	$2,558.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.85 / $966.55 / $1,376.11	Facility		$771.85	$966.55	$1,376.11
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $282.39 / $282.39 / $282.39	Facility	80	$282.39	$282.39	$282.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $240.04	Facility	AS	$84.26	$84.26	$240.04
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $12,278.00 / $12,278.00 / $12,278.00	Facility		$12,278.00	$12,278.00	$12,278.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00