Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,486.00 / $17,701.00	Facility		$1,587.51	$6,486.00	$17,701.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,589.50 / $4,641.00 / $16,850.00	Facility	50	$1,589.50	$4,641.00	$16,850.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $1,238.73 / $2,745.00	Professional	50	$233.45	$1,238.73	$2,745.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $479.22 / $577.05 / $825.49	Professional	50	$479.22	$577.05	$825.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $521.76 / $704.38	Professional		$119.88	$521.76	$704.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.52 / $572.91 / $996.29	Professional		$430.52	$572.91	$996.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,291.10 / $7,909.30 / $26,542.00	Facility		$2,291.10	$7,909.30	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.58 / $516.62 / $756.55	Facility		$350.58	$516.62	$756.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00