Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,833.00 / $21,355.00	Facility		$3,089.46	$9,833.00	$21,355.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $880.75 / $930.23 / $5,533.90	Facility	52	$880.75	$930.23	$5,533.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,916.00 / $13,349.00 / $41,473.83	Facility		$4,916.00	$13,349.00	$41,473.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $11,847.40	Facility		$64.40	$100.00	$11,847.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,000.00 / $20,814.00 / $25,978.00	Facility		$11,000.00	$20,814.00	$25,978.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.15 / $2,118.81 / $2,860.39	Professional		$1,600.15	$2,118.81	$2,860.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.59 / $2,413.05 / $4,440.00	Professional		$1,722.59	$2,413.05	$4,440.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,770.78 / $24,273.70	Facility		$55.00	$23,770.78	$24,273.70
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,965.25 / $6,958.71 / $7,485.02	Facility	52	$2,965.25	$6,958.71	$7,485.02
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $370.66 / $869.84 / $935.63	Facility	AS	$370.66	$869.84	$935.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,969.74 / $2,492.40 / $3,682.20	Facility		$1,969.74	$2,492.40	$3,682.20
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $723.60 / $723.60 / $723.60	Facility	80	$723.60	$723.60	$723.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $615.05	Facility	AS	$212.66	$212.66	$615.05
United Facility/Professional Facility Modifier Low / Median / High Price $9,252.00 / $18,330.00 / $42,098.00	Facility		$9,252.00	$18,330.00	$42,098.00