Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.20 / $7,146.30 / $20,135.00	Facility		$1,543.20	$7,146.30	$20,135.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.33 / $144.43 / $771.60	Facility	52	$124.33	$144.43	$771.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
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 $633.00 / $1,091.68 / $3,039.51	Facility		$633.00	$1,091.68	$3,039.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $287.89 / $388.67	Professional		$233.43	$287.89	$388.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.59 / $315.95 / $606.00	Professional		$240.59	$315.95	$606.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,278.14 / $4,901.45	Facility		$55.00	$4,278.14	$4,901.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $472.90 / $3,716.72 / $3,716.72	Facility	52	$472.90	$3,716.72	$3,716.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.47 / $320.77 / $520.72	Facility		$254.47	$320.77	$520.72
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
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