Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,912.51 / $19,952.62	Facility		$3,467.37	$8,912.51	$19,952.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,548.13 / $14,125.38 / $21,379.62	Facility	50	$3,548.13	$14,125.38	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $11,220.18	Facility		$64.57	$100.00	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,047.13	Facility		$707.95	$707.95	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $158.49	Professional		$117.49	$128.82	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $398.11	Professional		$95.50	$123.03	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $33,884.42 / $33,884.42	Facility		$2,511.89	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $691.83	Facility		$123.03	$302.00	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $6,456.54	Facility		$549.54	$1,548.82	$6,456.54