Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,471.29 / $21,379.62	Facility		$3,981.07	$10,471.29	$21,379.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $17,782.79	Facility		$64.57	$100.00	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $288.40	Professional		$199.53	$213.80	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $562.34	Professional		$186.21	$245.47	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,760.83 / $32,359.37	Facility		$5,011.87	$6,760.83	$32,359.37
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	AS	$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $446.68	Facility		$204.17	$263.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,041.74 / $27,542.29	Facility		$588.84	$2,041.74	$27,542.29