Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,310.00 / $16,713.00	Facility		$1,256.22	$5,310.00	$16,713.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $338.18 / $363.85 / $2,218.67	Facility	54	$338.18	$363.85	$2,218.67
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 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
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 $191.36 / $590.51 / $797.19	Professional		$191.36	$590.51	$797.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.46 / $659.55 / $1,179.34	Professional		$482.46	$659.55	$1,179.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,869.04 / $4,754.80 / $12,000.00	Facility		$1,869.04	$4,754.80	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $799.67 / $3,154.80 / $3,154.80	Facility	54	$799.67	$3,154.80	$3,154.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $633.16 / $875.39	Facility		$450.91	$633.16	$875.39
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $394.33 / $394.33 / $953.32	Facility	54	$394.33	$394.33	$953.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,072.00	Facility		$2,048.00	$4,038.00	$9,072.00