Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,934.00 / $20,509.00	Facility		$2,421.00	$8,934.00	$20,509.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,872.75 / $16,872.75 / $16,872.75	Facility	50	$16,872.75	$16,872.75	$16,872.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,311.00 / $18,812.00	Facility		$2,776.00	$9,311.00	$18,812.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,923.83	Facility		$66.00	$100.00	$9,923.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,771.00 / $29,804.48 / $50,000.00	Facility		$22,771.00	$29,804.48	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $913.95 / $1,233.83	Professional		$486.60	$913.95	$1,233.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.81 / $1,034.94 / $1,856.32	Professional		$747.81	$1,034.94	$1,856.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,757.45 / $86,081.45	Facility		$55.00	$3,757.45	$86,081.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $181.55 / $8,159.30 / $8,159.30	Facility	AS	$181.55	$8,159.30	$8,159.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.31 / $1,012.54 / $1,397.66	Facility		$790.31	$1,012.54	$1,397.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $271.49	Facility	AS	$90.07	$90.07	$271.49
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $42,098.00	Facility		$8,830.00	$18,315.00	$42,098.00