Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,108.00 / $20,103.00	Facility		$2,387.00	$7,108.00	$20,103.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,112.00 / $6,112.00 / $6,112.00	Facility	50	$6,112.00	$6,112.00	$6,112.00
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 $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $514.52 / $735.92 / $993.49	Professional		$514.52	$735.92	$993.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.41 / $807.44 / $1,460.00	Professional		$595.41	$807.44	$1,460.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,848.20 / $19,913.50 / $26,542.00	Facility		$2,848.20	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.90 / $1,887.52 / $1,887.52	Facility	AS	$139.90	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.95 / $826.96 / $1,224.00	Facility		$648.95	$826.96	$1,224.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $233.96 / $233.96 / $233.96	Facility	80	$233.96	$233.96	$233.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.08 / $69.08 / $198.87	Facility	AS	$69.08	$69.08	$198.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00