Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,305.00 / $9,358.00 / $18,164.00	Facility		$3,305.00	$9,358.00	$18,164.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,614.00 / $19,258.50 / $23,644.17	Facility	50	$16,614.00	$19,258.50	$23,644.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $10,386.83	Facility		$66.70	$100.00	$10,386.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.43 / $446.96 / $670.44	Professional		$354.43	$446.96	$670.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.69 / $489.23 / $890.10	Professional		$381.69	$489.23	$890.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,135.21 / $14,302.50 / $26,542.00	Facility		$2,135.21	$14,302.50	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.95 / $551.32 / $944.99	Facility		$427.95	$551.32	$944.99
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,625.00 / $6,625.00 / $6,625.00	Facility		$6,625.00	$6,625.00	$6,625.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00