Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.17 / $4,969.00 / $17,013.00	Facility		$738.17	$4,969.00	$17,013.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.08 / $298.70 / $1,460.76	Facility	52	$91.08	$298.70	$1,460.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.30 / $2,404.17 / $5,664.01	Facility		$2,034.30	$2,404.17	$5,664.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $240.60 / $726.66	Professional		$186.15	$240.60	$726.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $455.98 / $802.01	Professional		$183.55	$455.98	$802.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,463.77 / $1,500.80 / $16,394.00	Facility		$1,463.77	$1,500.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $378.71 / $713.38 / $713.38	Facility	52	$378.71	$713.38	$713.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.39 / $404.17 / $894.35	Facility		$200.39	$404.17	$894.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00