Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,357.00 / $23,920.00	Facility		$2,700.00	$8,357.00	$23,920.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $99.85 / $103.99 / $577.27	Facility	53	$99.85	$103.99	$577.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,751.00 / $9,830.00 / $23,548.00	Facility		$3,751.00	$9,830.00	$23,548.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $13,465.05	Facility		$66.09	$100.00	$13,465.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,647.33 / $15,060.00 / $25,976.00	Facility		$9,647.33	$15,060.00	$25,976.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $279.60 / $529.90 / $10,706.95	Professional		$279.60	$529.90	$10,706.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.81 / $594.60 / $1,122.90	Professional		$473.81	$594.60	$1,122.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $16,026.00 / $43,315.00	Facility		$2,324.00	$16,026.00	$43,315.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $246.60 / $8,211.29 / $8,211.29	Facility	53	$246.60	$8,211.29	$8,211.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.49 / $668.35 / $1,041.15	Facility		$503.49	$668.35	$1,041.15
United Facility/Professional Facility Modifier Low / Median / High Price $10,236.00 / $20,877.00 / $51,670.00	Facility		$10,236.00	$20,877.00	$51,670.00