Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.26 / $2,791.60 / $14,970.00	Facility		$423.26	$2,791.60	$14,970.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.75 / $244.47 / $1,691.28	Facility	54	$221.75	$244.47	$1,691.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
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 $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $419.97 / $566.96	Professional		$189.81	$419.97	$566.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $487.14 / $861.95	Professional		$361.33	$487.14	$861.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,631.92 / $1,806.66 / $12,000.00	Facility		$1,631.92	$1,806.66	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,142.33 / $1,264.66 / $1,264.66	Facility	54	$1,142.33	$1,264.66	$1,264.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.85 / $473.05 / $641.08	Facility		$331.85	$473.05	$641.08
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $417.61 / $417.61 / $723.98	Facility	54	$417.61	$417.61	$723.98
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00