Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.11 / $4,749.00 / $16,125.00	Facility		$434.11	$4,749.00	$16,125.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $270.69 / $297.91 / $2,049.40	Facility	54	$270.69	$297.91	$2,049.40
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 $231.20 / $555.92 / $769.65	Professional		$231.20	$555.92	$769.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.84 / $583.09 / $1,012.00	Professional		$427.84	$583.09	$1,012.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,968.96 / $2,154.36 / $12,000.00	Facility		$1,968.96	$2,154.36	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,347.91 / $1,508.05 / $1,508.05	Facility	54	$1,347.91	$1,508.05	$1,508.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.21 / $566.28 / $766.78	Facility		$397.21	$566.28	$766.78
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $864.02	Facility	54	$489.81	$489.81	$864.02
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $5,830.00	Facility		$548.00	$1,523.00	$5,830.00