Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,772.37 / $28,183.83	Facility		$3,548.13	$9,772.37	$28,183.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility	50	$43,651.58	$43,651.58	$43,651.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $13,489.63	Facility		$66.07	$4,786.30	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $537.03	Professional		$323.59	$398.11	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $851.14	Professional		$363.08	$457.09	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $33,884.42 / $33,884.42	Facility		$14,454.40	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $537.03 / $912.01	Facility		$426.58	$537.03	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61