Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,003.00 / $11,564.00 / $28,102.00	Facility		$4,003.00	$11,564.00	$28,102.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,933.00 / $11,311.86 / $37,365.00	Facility	50	$6,933.00	$11,311.86	$37,365.00
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 $66.90 / $100.00 / $17,058.50	Facility		$66.90	$100.00	$17,058.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,894.76 / $7,500.00 / $12,348.83	Facility		$6,894.76	$7,500.00	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,038.17 / $4,922.37	Professional		$893.52	$1,038.17	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.79 / $1,170.45 / $2,133.62	Professional		$847.79	$1,170.45	$2,133.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $19,913.50 / $30,000.00	Facility		$6,500.00	$19,913.50	$30,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.65 / $1,887.52 / $1,887.52	Facility	AS	$202.65	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.33 / $1,199.09 / $1,930.97	Facility		$975.33	$1,199.09	$1,930.97
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $372.59 / $372.59 / $372.59	Facility	80	$372.59	$372.59	$372.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $103.83 / $103.83 / $316.70	Facility	AS	$103.83	$103.83	$316.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,904.00 / $33,317.00	Facility		$7,212.00	$13,904.00	$33,317.00