Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.56 / $4,848.00 / $16,210.00	Facility		$756.56	$4,848.00	$16,210.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $71.61 / $149.54 / $830.04	Facility	52	$71.61	$149.54	$830.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,182.65 / $2,786.23	Facility		$1,000.71	$1,182.65	$2,786.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $190.91 / $438.93	Professional		$148.91	$190.91	$438.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $281.44 / $492.52	Professional		$145.15	$281.44	$492.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.30 / $1,184.54 / $12,000.00	Facility		$1,154.30	$1,184.54	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $298.62 / $564.34 / $564.34	Facility	52	$298.62	$564.34	$564.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $281.80 / $494.06	Facility		$170.52	$281.80	$494.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,038.00 / $9,131.00	Facility		$1,943.00	$4,038.00	$9,131.00