Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,830.00 / $18,252.00	Facility		$1,992.00	$7,830.00	$18,252.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,173.00 / $8,173.00 / $14,117.00	Facility	50	$8,173.00	$8,173.00	$14,117.00
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 $523.45 / $970.96 / $1,310.80	Professional		$523.45	$970.96	$1,310.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.42 / $1,011.50 / $1,905.49	Professional		$759.42	$1,011.50	$1,905.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,397.64 / $11,500.00 / $26,542.00	Facility		$4,397.64	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.32 / $1,039.35 / $1,554.59	Facility		$835.32	$1,039.35	$1,554.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $304.88 / $304.88 / $304.88	Facility	80	$304.88	$304.88	$304.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00