Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.75 / $5,382.00 / $16,713.00	Facility		$1,146.75	$5,382.00	$16,713.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $319.17 / $345.26 / $2,161.96	Facility	54	$319.17	$345.26	$2,161.96
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 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
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 $173.12 / $583.16 / $787.27	Professional		$173.12	$583.16	$787.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.10 / $641.82 / $1,156.11	Professional		$469.10	$641.82	$1,156.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.20 / $4,754.80 / $16,394.00	Facility		$1,816.20	$4,754.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $778.37 / $3,154.80 / $3,154.80	Facility	54	$778.37	$3,154.80	$3,154.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.50 / $611.82 / $846.93	Facility		$433.50	$611.82	$846.93
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $920.56	Facility	54	$384.68	$384.68	$920.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00