Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,399.02 / $8,740.00 / $24,033.00	Facility		$2,399.02	$8,740.00	$24,033.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $43,402.50 / $43,402.50 / $43,402.50	Facility	50	$43,402.50	$43,402.50	$43,402.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $10,912.22	Facility		$66.70	$100.00	$10,912.22
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 $326.88 / $451.25 / $618.33	Professional		$326.88	$451.25	$618.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.13 / $520.73 / $947.78	Professional		$406.13	$520.73	$947.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,277.71 / $14,302.50 / $26,542.00	Facility		$2,277.71	$14,302.50	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.36 / $549.16 / $907.15	Facility		$422.36	$549.16	$907.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $16,148.00	Facility		$3,800.00	$7,402.00	$16,148.00