Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility	50	$4,168.69	$4,168.69	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $977.24 / $5,754.40	Facility		$66.07	$977.24	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $467.74	Professional		$83.18	$144.54	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $263.03 / $524.81	Professional		$77.62	$263.03	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,089.30	Facility		$54.95	$56.23	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $190.55 / $426.58	Facility		$87.10	$190.55	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28