Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,064.50 / $18,293.00	Facility		$1,992.00	$8,064.50	$18,293.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.98 / $141.96 / $757.21	Facility	52	$114.98	$141.96	$757.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,103.00 / $16,413.00	Facility		$1,500.00	$8,103.00	$16,413.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $9,188.37	Facility		$69.80	$100.00	$9,188.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,761.60 / $4,904.76	Facility		$633.00	$1,761.60	$4,904.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $306.24 / $413.42	Professional		$202.53	$306.24	$413.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.22 / $327.67 / $599.21	Professional		$249.22	$327.67	$599.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.16 / $7,909.30 / $26,542.00	Facility		$1,436.16	$7,909.30	$26,542.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $475.39 / $5,997.52 / $5,997.52	Facility	52	$475.39	$5,997.52	$5,997.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.04 / $346.05 / $569.22	Facility		$259.04	$346.05	$569.22
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,239.00 / $4,239.00 / $4,239.00	Facility		$4,239.00	$4,239.00	$4,239.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00