Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,423.00 / $18,293.00	Facility		$1,174.00	$6,423.00	$18,293.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.76 / $83.50 / $416.15	Facility	52	$69.76	$83.50	$416.15
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 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,091.68 / $2,915.45	Facility		$455.00	$1,091.68	$2,915.45
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $172.81 / $1,211.58	Professional		$157.10	$172.81	$1,211.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $174.90 / $361.33	Professional		$131.87	$174.90	$361.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $778.68 / $4,901.45 / $16,394.00	Facility		$778.68	$4,901.45	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $256.45 / $3,716.72 / $3,716.72	Facility	52	$256.45	$3,716.72	$3,716.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.03 / $188.98 / $356.97	Facility		$143.03	$188.98	$356.97
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
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