Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,990.00 / $17,030.00	Facility		$1,919.00	$5,990.00	$17,030.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $516.35 / $549.46 / $3,327.10	Facility	54	$516.35	$549.46	$3,327.10
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 $315.70 / $856.93 / $1,156.85	Professional		$315.70	$856.93	$1,156.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.43 / $968.24 / $1,778.00	Professional		$699.43	$968.24	$1,778.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,502.45 / $4,754.80 / $16,394.00	Facility		$3,502.45	$4,754.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,186.24 / $3,154.80 / $3,154.80	Facility	54	$1,186.24	$3,154.80	$3,154.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.28 / $943.16 / $1,292.52	Facility		$697.28	$943.16	$1,292.52
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $1,444.11	Facility	54	$592.41	$592.41	$1,444.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00