Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,229.00 / $17,692.80	Facility		$1,919.00	$6,229.00	$17,692.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $131.69 / $157.01 / $681.32	Facility	52	$131.69	$157.01	$681.32
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 $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $281.05 / $1,211.58	Professional		$255.50	$281.05	$1,211.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $279.99 / $574.00	Professional		$213.40	$279.99	$574.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,265.64 / $4,901.45 / $16,394.00	Facility		$1,265.64	$4,901.45	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $418.95 / $3,716.72 / $3,716.72	Facility	52	$418.95	$3,716.72	$3,716.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.19 / $308.24 / $520.95	Facility		$235.19	$308.24	$520.95
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00