Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,648.00 / $18,252.00	Facility		$2,421.00	$7,648.00	$18,252.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,424.90 / $5,424.90 / $5,424.90	Facility	50	$5,424.90	$5,424.90	$5,424.90
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 / $520.57 / $702.77	Professional		$253.16	$520.57	$702.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.18 / $598.66 / $1,059.76	Professional		$466.18	$598.66	$1,059.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.68 / $9,388.90 / $26,542.00	Facility		$1,725.68	$9,388.90	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $102.92 / $889.94 / $889.94	Facility	AS	$102.92	$889.94	$889.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.28 / $578.04 / $832.91	Facility		$457.28	$578.04	$832.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $149.61 / $149.61 / $149.61	Facility	AS	$149.61	$149.61	$149.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $16,148.00	Facility		$3,698.00	$7,106.00	$16,148.00