Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.00 / $6,342.00 / $16,573.00	Facility		$1,297.00	$6,342.00	$16,573.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.64 / $126.16 / $574.35	Facility	52	$105.64	$126.16	$574.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.49 / $1,091.68 / $3,039.51	Facility		$470.49	$1,091.68	$3,039.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $215.55 / $290.99	Professional		$125.09	$215.55	$290.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $235.74 / $452.45	Professional		$179.69	$235.74	$452.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.72 / $4,901.45 / $16,394.00	Facility		$1,062.72	$4,901.45	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $352.70 / $3,716.72 / $3,716.72	Facility	52	$352.70	$3,716.72	$3,716.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.40 / $259.04 / $433.69	Facility		$197.40	$259.04	$433.69
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,928.00 / $9,131.00	Facility		$1,433.90	$3,928.00	$9,131.00