Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,695.00 / $17,809.00	Facility		$1,174.00	$6,695.00	$17,809.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $731.00 / $2,243.94 / $4,782.60	Facility	50	$731.00	$2,243.94	$4,782.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,697.00	Facility		$2,143.00	$6,048.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.55 / $3,621.74 / $8,532.51	Facility		$3,064.55	$3,621.74	$8,532.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $201.79 / $245.91 / $381.71	Professional		$201.79	$245.91	$381.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $259.41 / $456.57	Professional		$200.99	$259.41	$456.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.59 / $13,759.35 / $26,542.00	Facility		$1,110.59	$13,759.35	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.45 / $296.77 / $488.09	Facility		$217.45	$296.77	$488.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00