Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $4,941.00 / $16,713.00	Facility		$885.00	$4,941.00	$16,713.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $136.88 / $141.97 / $738.93	Facility	54	$136.88	$141.97	$738.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
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 $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $220.95 / $254.09	Professional		$180.77	$220.95	$254.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $219.50 / $449.69	Professional		$158.72	$219.50	$449.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $636.64 / $2,000.00 / $12,000.00	Facility		$636.64	$2,000.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $445.65 / $651.70 / $651.70	Facility	54	$445.65	$651.70	$651.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.09 / $233.28 / $606.87	Facility		$185.09	$233.28	$606.87
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $342.40	Facility	54	$140.13	$140.13	$342.40
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00