Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.41 / $4,494.00 / $15,572.00	Facility		$559.41	$4,494.00	$15,572.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $323.79 / $357.88 / $2,372.10	Facility	54	$323.79	$357.88	$2,372.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
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 $265.82 / $621.64 / $873.22	Professional		$265.82	$621.64	$873.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.38 / $660.66 / $1,158.96	Professional		$489.38	$660.66	$1,158.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.16 / $2,429.19 / $16,394.00	Facility		$2,238.16	$2,429.19	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,534.41 / $1,700.44 / $1,700.44	Facility	54	$1,534.41	$1,700.44	$1,700.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.75 / $668.15 / $879.69	Facility		$539.75	$668.15	$879.69
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $560.79 / $560.79 / $1,003.43	Facility	54	$560.79	$560.79	$1,003.43
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00