Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.97 / $6,488.50 / $17,902.00	Facility		$1,700.97	$6,488.50	$17,902.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $155.49 / $185.36 / $944.21	Facility	52	$155.49	$185.36	$944.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.20 / $74.14 / $377.68	Facility	53	$62.20	$74.14	$377.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,863.00 / $13,697.00	Facility		$1,196.00	$5,863.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,929.19	Facility		$67.90	$100.00	$6,929.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $2,225.96 / $6,328.57	Facility		$455.00	$2,225.96	$6,328.57
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $309.01 / $369.74 / $584.54	Professional		$309.01	$369.74	$584.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.55 / $386.80 / $738.51	Professional		$294.55	$386.80	$738.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,040.99 / $10,639.60 / $16,394.00	Facility		$2,040.99	$10,639.60	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $580.50 / $8,067.84 / $8,067.84	Facility	52	$580.50	$8,067.84	$8,067.84
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $145.13 / $2,016.96 / $2,016.96	Facility	53	$145.13	$2,016.96	$2,016.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.08 / $422.56 / $704.77	Facility		$321.08	$422.56	$704.77
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,120.00 / $15,471.00	Facility		$2,181.00	$7,120.00	$15,471.00