Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $852.89 / $907.40 / $5,401.60	Facility	54	$852.89	$907.40	$5,401.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,263.42	Facility		$64.40	$100.00	$8,263.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $934.10 / $1,399.81 / $1,766.97	Professional		$934.10	$1,399.81	$1,766.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.32 / $1,582.39 / $2,837.14	Professional		$1,139.32	$1,582.39	$2,837.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,820.44 / $10,021.06	Facility		$55.00	$9,820.44	$10,021.06
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,678.49 / $3,947.29 / $4,287.96	Facility	54	$1,678.49	$3,947.29	$4,287.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $239.78 / $563.90 / $612.55	Facility	AS	$239.78	$563.90	$612.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.60 / $1,669.92 / $2,285.52	Facility		$1,289.60	$1,669.92	$2,285.52
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $964.30 / $964.30 / $2,335.13	Facility	54	$964.30	$964.30	$2,335.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.03 / $467.03 / $467.03	Facility	80	$467.03	$467.03	$467.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $137.76 / $137.76 / $396.97	Facility	AS	$137.76	$137.76	$396.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00