Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $18,197.01	Facility		$2,691.53	$7,413.10	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $6,456.54 / $10,000.00	Facility	50	$5,623.41	$6,456.54	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,079.46	Facility		$66.07	$2,754.23	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $977.24 / $1,584.89	Professional		$194.98	$977.24	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $812.83 / $1,819.70	Professional		$177.83	$812.83	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $977.24 / $1,819.70	Facility		$213.80	$977.24	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96