Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,579.50 / $9,879.00 / $21,479.00	Facility		$2,579.50	$9,879.00	$21,479.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $806.99 / $854.33 / $5,111.85	Facility	52	$806.99	$854.33	$5,111.85
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 / $10,574.64	Facility		$64.40	$100.00	$10,574.64
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 $1,428.52 / $1,968.51 / $2,657.49	Professional		$1,428.52	$1,968.51	$2,657.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.78 / $2,235.44 / $4,096.00	Professional		$1,591.78	$2,235.44	$4,096.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,953.60 / $16,290.64	Facility		$55.00	$15,953.60	$16,290.64
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,732.80 / $6,418.56 / $6,929.94	Facility	52	$2,732.80	$6,418.56	$6,929.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $341.60 / $802.32 / $866.24	Facility	AS	$341.60	$802.32	$866.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,823.67 / $2,287.25 / $3,463.40	Facility		$1,823.67	$2,287.25	$3,463.40
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility	52	$1,569.13	$1,569.13	$1,569.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $666.17 / $666.17 / $666.17	Facility	80	$666.17	$666.17	$666.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $196.14 / $196.14 / $566.24	Facility	AS	$196.14	$196.14	$566.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $17,262.00 / $38,680.00	Facility		$8,830.00	$17,262.00	$38,680.00