Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,029.00 / $19,368.00	Facility		$2,421.00	$9,029.00	$19,368.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $726.68 / $785.58 / $4,715.43	Facility	52	$726.68	$785.58	$4,715.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $12,563.00 / $29,048.00	Facility		$4,597.00	$12,563.00	$29,048.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $16,022.33	Facility		$66.00	$100.00	$16,022.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,268.00 / $25,197.00 / $25,198.00	Facility		$16,268.00	$25,197.00	$25,198.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.29 / $1,810.54 / $2,263.17	Professional		$1,356.29	$1,810.54	$2,263.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.93 / $2,054.69 / $3,686.06	Professional		$1,462.93	$2,054.69	$3,686.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,000.00 / $50,078.50	Facility		$55.00	$45,000.00	$50,078.50
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,893.97 / $38,006.16 / $38,006.16	Facility	52	$2,893.97	$38,006.16	$38,006.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $361.75 / $4,750.77 / $4,750.77	Facility	AS	$361.75	$4,750.77	$4,750.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,625.48 / $2,029.16 / $2,764.54	Facility		$1,625.48	$2,029.16	$2,764.54
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,440.27 / $1,440.27 / $1,440.27	Facility	52	$1,440.27	$1,440.27	$1,440.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $180.03 / $180.03 / $521.14	Facility	AS	$180.03	$180.03	$521.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $11,228.00 / $28,228.00	Facility		$5,830.00	$11,228.00	$28,228.00