Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.75 / $7,648.00 / $22,788.00	Facility		$1,861.75	$7,648.00	$22,788.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,850.72 / $8,912.00 / $32,184.23	Facility	50	$3,850.72	$8,912.00	$32,184.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $360.19 / $1,851.30 / $7,501.00	Professional	50	$360.19	$1,851.30	$7,501.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $445.03 / $732.02 / $2,849.79	Professional	50	$445.03	$732.02	$2,849.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,311.00 / $15,399.00	Facility		$2,696.00	$7,311.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $519.79 / $2,277.78 / $4,008.65	Professional	50	$519.79	$2,277.78	$4,008.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,395.80	Facility		$66.00	$100.00	$6,395.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $280.70 / $473.76 / $3,565.28	Professional		$280.70	$473.76	$3,565.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.04 / $1,463.94 / $3,375.03	Professional		$348.04	$1,463.94	$3,375.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,453.28 / $3,754.30	Facility		$55.00	$2,453.28	$3,754.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $1,552.23 / $3,334.91	Facility		$381.36	$1,552.23	$3,334.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,904.00 / $32,540.00	Facility		$7,696.00	$13,904.00	$32,540.00