Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $17,378.01	Facility		$1,659.59	$6,025.60	$17,378.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $3,548.13 / $7,413.10	Facility	50	$691.83	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $426.58 / $933.25	Professional	50	$144.54	$426.58	$933.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $251.19 / $363.08	Professional	50	$245.47	$251.19	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $338.84 / $588.84	Professional	50	$162.18	$338.84	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $426.58	Professional		$89.13	$131.83	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $245.47 / $467.74	Professional		$97.72	$245.47	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $724.44 / $724.44	Facility		$56.23	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $263.03 / $489.78	Facility		$123.03	$263.03	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83