Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.58 / $4,848.00 / $16,713.00	Facility		$753.58	$4,848.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,395.00 / $5,754.00 / $7,920.00	Facility	50	$4,395.00	$5,754.00	$7,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $541.91 / $907.47	Professional		$87.59	$541.91	$907.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $468.00 / $1,013.83	Professional		$80.86	$468.00	$1,013.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $757.84 / $871.33	Facility		$55.00	$757.84	$871.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $561.23 / $1,021.45	Facility		$94.43	$561.23	$1,021.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,060.00 / $9,131.00	Facility		$2,230.00	$4,060.00	$9,131.00