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 / $17,054.00	Facility		$1,919.00	$5,990.00	$17,054.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $534.86 / $569.58 / $3,328.93	Facility	54	$534.86	$569.58	$3,328.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
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 $357.78 / $862.03 / $1,163.74	Professional		$357.78	$862.03	$1,163.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.61 / $968.53 / $1,803.03	Professional		$702.61	$968.53	$1,803.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,542.30 / $4,754.80 / $16,394.00	Facility		$3,542.30	$4,754.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,197.45 / $3,154.80 / $3,154.80	Facility	54	$1,197.45	$3,154.80	$3,154.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $756.80 / $963.68 / $1,312.77	Facility		$756.80	$963.68	$1,312.77
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $1,451.82	Facility	54	$596.32	$596.32	$1,451.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,038.00 / $9,072.00	Facility		$2,150.00	$4,038.00	$9,072.00