Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.00 / $4,848.00 / $16,573.00	Facility		$1,023.00	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $244.00 / $262.52 / $1,701.59	Facility	54	$244.00	$262.52	$1,701.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
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 $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $204.39 / $591.63	Professional		$170.32	$204.39	$591.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.90 / $531.62 / $940.87	Professional		$384.90	$531.62	$940.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $906.74 / $2,085.63 / $12,000.00	Facility		$906.74	$2,085.63	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $542.00 / $1,281.15 / $1,422.00	Facility	54	$542.00	$1,281.15	$1,422.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.33 / $497.46 / $678.85	Facility		$325.33	$497.46	$678.85
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $313.17 / $313.17 / $736.19	Facility	54	$313.17	$313.17	$736.19
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00