Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,321.00 / $10,406.00 / $26,645.00	Facility		$3,321.00	$10,406.00	$26,645.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,682.50 / $6,682.50 / $6,682.50	Facility	50	$6,682.50	$6,682.50	$6,682.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $9,644.00 / $18,544.00	Facility		$3,738.00	$9,644.00	$18,544.00
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 $1,437.69 / $1,581.46 / $4,922.37	Professional		$1,437.69	$1,581.46	$4,922.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.45 / $1,639.41 / $2,980.41	Professional		$1,180.45	$1,639.41	$2,980.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $18,000.00 / $19,913.50	Facility		$5,897.00	$18,000.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $285.30 / $1,887.52 / $1,887.52	Facility	AS	$285.30	$1,887.52	$1,887.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.44 / $1,668.42 / $2,604.00	Facility		$1,342.44	$1,668.42	$2,604.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $493.88 / $493.88 / $493.88	Facility	80	$493.88	$493.88	$493.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $146.47 / $146.47 / $419.80	Facility	AS	$146.47	$146.47	$419.80
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