Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,281.00 / $22,788.00	Facility		$2,387.00	$7,281.00	$22,788.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.87 / $0.87 / $0.87	Facility	50	$0.87	$0.87	$0.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $9,030.00 / $17,774.00	Facility		$3,445.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $6,906.96 / $12,348.83	Facility		$6,393.00	$6,906.96	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,234.33 / $4,922.37	Professional		$967.98	$1,234.33	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,010.56 / $1,403.55 / $2,548.69	Professional		$1,010.56	$1,403.55	$2,548.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $11,481.03 / $19,913.50	Facility		$5,897.00	$11,481.03	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $242.41 / $1,887.52 / $1,887.52	Facility	AS	$242.41	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,168.29 / $1,439.90 / $2,306.90	Facility		$1,168.29	$1,439.90	$2,306.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $124.52 / $124.52 / $376.22	Facility	AS	$124.52	$124.52	$376.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,904.00 / $33,317.00	Facility		$6,366.00	$13,904.00	$33,317.00