Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $22,387.21	Facility		$3,311.31	$8,128.31	$22,387.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $4,786.30 / $5,495.41	Facility	50	$4,786.30	$4,786.30	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $22,908.68	Facility		$66.07	$4,570.88	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $5,011.87	Facility		$660.69	$1,995.26	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $851.14	Professional		$416.87	$630.96	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,258.93	Professional		$524.81	$645.65	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $91.20 / $114.82 / $501.19	Professional	80	$91.20	$114.82	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $91.20 / $91.20 / $114.82	Professional	AS	$91.20	$91.20	$114.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $50,118.72	Facility		$9,549.93	$9,549.93	$50,118.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AS	$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,288.25	Facility		$575.44	$776.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $20,892.96	Facility		$4,265.80	$9,549.93	$20,892.96