Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,858.80 / $12,619.00 / $28,245.78	Facility		$3,858.80	$12,619.00	$28,245.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $378.16 / $401.12 / $1,929.40	Facility	52	$378.16	$401.12	$1,929.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,260.00 / $17,774.00	Facility		$3,204.00	$9,260.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $21,563.06	Facility		$66.00	$100.00	$21,563.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $13,334.00 / $14,932.00	Facility		$6,185.09	$13,334.00	$14,932.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $481.76 / $735.32 / $992.68	Professional		$481.76	$735.32	$992.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.79 / $846.23 / $1,501.13	Professional		$661.79	$846.23	$1,501.13
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,271.89 / $26,542.00 / $27,770.10	Facility		$4,271.89	$26,542.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,206.83 / $21,057.68 / $21,057.68	Facility	52	$1,206.83	$21,057.68	$21,057.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.85 / $2,632.21 / $2,632.21	Facility	AS	$150.85	$2,632.21	$2,632.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.99 / $964.59 / $1,612.71	Facility		$741.99	$964.59	$1,612.71
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $249.51 / $249.51 / $249.51	Facility	80	$249.51	$249.51	$249.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.08 / $212.08 / $212.08	Facility	AS	$212.08	$212.08	$212.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00