Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,413.10 / $18,197.01	Facility		$2,884.03	$7,413.10	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $4,570.88 / $16,982.44	Facility	50	$1,862.09	$4,570.88	$16,982.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $741.31 / $2,754.23	Professional	50	$234.42	$741.31	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $575.44 / $1,174.90	Professional	50	$478.63	$575.44	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,912.51	Facility		$66.07	$2,511.89	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $660.69	Professional		$120.23	$181.97	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $870.96	Professional		$398.11	$524.81	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $831.76	Facility		$354.81	$524.81	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61