Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,165.00 / $16,713.00	Facility		$550.00	$5,165.00	$16,713.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $269.77 / $292.52 / $1,981.98	Facility	54	$269.77	$292.52	$1,981.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $546.35 / $740.53	Professional		$194.71	$546.35	$740.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.36 / $569.65 / $982.72	Professional		$419.36	$569.65	$982.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,372.69 / $2,421.10 / $16,394.00	Facility		$2,372.69	$2,421.10	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,330.94 / $1,485.25 / $1,485.25	Facility	54	$1,330.94	$1,485.25	$1,485.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.18 / $546.86 / $740.53	Facility		$392.18	$546.86	$740.53
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $837.69	Facility	54	$484.22	$484.22	$837.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00