Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $10,061.00 / $26,826.00	Facility		$2,616.00	$10,061.00	$26,826.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,408.47 / $19,408.47 / $19,408.47	Facility	50	$19,408.47	$19,408.47	$19,408.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,990.00 / $14,851.00 / $36,700.00	Facility		$4,990.00	$14,851.00	$36,700.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $22,916.51	Facility		$66.09	$100.00	$22,916.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $17,867.62 / $31,945.17	Facility		$10,000.00	$17,867.62	$31,945.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.79 / $1,438.57 / $12,733.68	Professional		$1,307.79	$1,438.57	$12,733.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.99 / $1,485.03 / $2,689.57	Professional		$1,065.99	$1,485.03	$2,689.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,362.25 / $15,000.00 / $51,514.20	Facility		$5,362.25	$15,000.00	$51,514.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $259.27 / $4,882.81 / $4,882.81	Facility	AS	$259.27	$4,882.81	$4,882.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,195.52 / $1,488.56 / $2,217.09	Facility		$1,195.52	$1,488.56	$2,217.09
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $439.14 / $439.14 / $439.14	Facility	80	$439.14	$439.14	$439.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $373.27	Facility	AS	$128.96	$128.96	$373.27
United Facility/Professional Facility Modifier Low / Median / High Price $9,252.00 / $16,756.00 / $42,098.00	Facility		$9,252.00	$16,756.00	$42,098.00