Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $4,848.00 / $16,008.00	Facility		$1,169.00	$4,848.00	$16,008.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $268.07 / $290.20 / $1,849.58	Facility	54	$268.07	$290.20	$1,849.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $500.94 / $676.27	Professional		$146.69	$500.94	$676.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.22 / $555.45 / $991.96	Professional		$402.22	$555.45	$991.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,944.95 / $4,754.80 / $12,000.00	Facility		$1,944.95	$4,754.80	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $667.32 / $3,154.80 / $3,154.80	Facility	54	$667.32	$3,154.80	$3,154.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.20 / $524.44 / $727.51	Facility		$382.20	$524.44	$727.51
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $328.83 / $328.83 / $788.22	Facility	54	$328.83	$328.83	$788.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,038.00 / $9,072.00	Facility		$2,212.00	$4,038.00	$9,072.00