Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,902.00	Facility		$1,820.00	$6,695.00	$17,902.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,930.50 / $7,930.50 / $7,930.50	Facility	50	$7,930.50	$7,930.50	$7,930.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $514.79 / $694.97	Professional		$295.23	$514.79	$694.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.92 / $599.55 / $1,072.33	Professional		$435.92	$599.55	$1,072.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,770.44 / $8,957.00 / $26,542.00	Facility		$1,770.44	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $104.52 / $849.00 / $849.00	Facility	AS	$104.52	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.99 / $618.00 / $908.48	Facility		$495.99	$618.00	$908.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $183.21 / $183.21 / $183.21	Facility	80	$183.21	$183.21	$183.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $53.24 / $53.24 / $155.72	Facility	AS	$53.24	$53.24	$155.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00