Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $5,710.00 / $17,054.00	Facility		$1,038.00	$5,710.00	$17,054.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,052.35 / $3,052.35 / $3,052.35	Facility	50	$3,052.35	$3,052.35	$3,052.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $187.80 / $253.53	Professional		$77.81	$187.80	$253.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $210.08 / $377.82	Professional		$152.31	$210.08	$377.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $585.08 / $4,754.80 / $12,000.00	Facility		$585.08	$4,754.80	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.83 / $205.29 / $300.48	Facility		$164.83	$205.29	$300.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00