Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,830.00 / $19,022.00	Facility		$2,197.85	$7,830.00	$19,022.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,150.83 / $2,150.83 / $2,150.83	Facility	50	$2,150.83	$2,150.83	$2,150.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $438.97 / $592.61	Professional		$253.16	$438.97	$592.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.63 / $502.62 / $885.04	Professional		$386.63	$502.62	$885.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,411.24 / $9,388.90 / $26,542.00	Facility		$1,411.24	$9,388.90	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.16 / $517.48 / $758.37	Facility		$396.16	$517.48	$758.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00