Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $21,877.62	Facility		$2,187.76	$6,309.57	$21,877.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,090.30 / $12,302.69	Facility	50	$3,090.30	$3,090.30	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,801.89 / $12,022.64	Facility		$66.07	$3,801.89	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $660.69	Professional		$380.19	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,023.29	Professional		$407.38	$537.03	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AS	$870.96	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $870.96	Facility		$436.52	$562.34	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,232.93 / $21,877.62	Facility		$5,370.32	$10,232.93	$21,877.62