Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,549.93 / $19,054.61	Facility		$3,548.13	$9,549.93	$19,054.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,182.57 / $14,791.08 / $50,118.72	Facility	50	$13,182.57	$14,791.08	$50,118.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $10,964.78	Facility		$66.07	$2,754.23	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $467.74	Professional		$295.12	$346.74	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $724.44	Professional		$302.00	$380.19	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $33,884.42 / $33,884.42	Facility		$5,495.41	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $446.68 / $741.31	Facility		$331.13	$446.68	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61