Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $9,006.00 / $19,860.00	Facility		$1,174.00	$9,006.00	$19,860.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,404.50 / $6,404.50 / $6,404.50	Facility	50	$6,404.50	$6,404.50	$6,404.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,863.00 / $11,400.00	Facility		$2,100.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $15,290.89	Facility		$65.90	$100.00	$15,290.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $10,000.00 / $10,000.00	Facility		$7,500.00	$10,000.00	$10,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $197.32 / $242.19 / $326.95	Professional		$197.32	$242.19	$326.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.38 / $287.27 / $568.00	Professional		$208.38	$287.27	$568.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,032.40 / $6,821.50 / $32,000.00	Facility		$3,032.40	$6,821.50	$32,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.06 / $105.67 / $109.98	Facility	AS	$45.06	$105.67	$109.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $279.02 / $413.15	Facility		$225.12	$279.02	$413.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $72.45 / $72.45 / $72.45	Facility	80	$72.45	$72.45	$72.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $26.02 / $26.02 / $61.59	Facility	AS	$26.02	$26.02	$61.59
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $1,805.00 / $14,315.00	Facility		$576.00	$1,805.00	$14,315.00