Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,954.00 / $18,252.00	Facility		$2,387.00	$7,954.00	$18,252.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,526.00 / $4,651.60 / $35,292.50	Facility	50	$3,526.00	$4,651.60	$35,292.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,484.00 / $17,774.00	Facility		$2,275.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,724.66	Facility		$66.00	$100.00	$9,724.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,256.40 / $3,075.60	Facility		$705.31	$2,256.40	$3,075.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $781.83 / $1,054.20	Professional		$521.22	$781.83	$1,054.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.57 / $825.86 / $1,702.34	Professional		$617.57	$825.86	$1,702.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,611.28 / $11,500.00 / $26,542.00	Facility		$3,611.28	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $717.37 / $913.03 / $1,375.95	Facility		$717.37	$913.03	$1,375.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00