Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,688.43 / $9,674.00 / $21,355.00	Facility		$2,688.43	$9,674.00	$21,355.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $644.82 / $684.43 / $4,111.29	Facility	52	$644.82	$684.43	$4,111.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $13,255.00 / $41,473.83	Facility		$4,597.00	$13,255.00	$41,473.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,768.12	Facility		$64.40	$100.00	$8,768.12
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 $1,593.73 / $1,753.10 / $2,151.54	Professional		$1,593.73	$1,753.10	$2,151.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,299.33 / $1,804.63 / $3,236.95	Professional		$1,299.33	$1,804.63	$3,236.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,829.04 / $13,086.80	Facility		$55.00	$12,829.04	$13,086.80
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,194.67 / $5,159.08 / $5,591.10	Facility	52	$2,194.67	$5,159.08	$5,591.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $274.33 / $644.89 / $698.89	Facility	AS	$274.33	$644.89	$698.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,453.99 / $1,812.51 / $2,555.52	Facility		$1,453.99	$1,812.51	$2,555.52
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $533.96 / $533.96 / $533.96	Facility	80	$533.96	$533.96	$533.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $453.87	Facility	AS	$157.47	$157.47	$453.87
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $42,098.00	Facility		$8,830.00	$18,315.00	$42,098.00