Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $474.83 / $507.07 / $3,005.15	Facility	54	$474.83	$507.07	$3,005.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
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 $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $788.44 / $1,064.39	Professional		$337.30	$788.44	$1,064.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.99 / $888.90 / $1,607.00	Professional		$641.99	$888.90	$1,607.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,205.00 / $4,754.80 / $12,000.00	Facility		$3,205.00	$4,754.80	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,086.08 / $3,154.80 / $3,154.80	Facility	54	$1,086.08	$3,154.80	$3,154.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.95 / $868.98 / $1,163.01	Facility		$712.95	$868.98	$1,163.01
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $541.79 / $541.79 / $1,298.94	Facility	54	$541.79	$541.79	$1,298.94
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,830.00	Facility		$587.00	$1,533.00	$5,830.00