Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $6,880.00 / $18,315.16	Facility		$1,353.00	$6,880.00	$18,315.16
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.57 / $123.50 / $633.42	Facility	52	$106.57	$123.50	$633.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,159.08	Facility		$67.90	$100.00	$7,159.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $5,321.00 / $14,210.35	Facility		$633.00	$5,321.00	$14,210.35
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $237.24 / $320.27	Professional		$200.30	$237.24	$320.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $260.95 / $533.79	Professional		$198.87	$260.95	$533.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,185.90 / $3,598.00 / $23,890.45	Facility		$1,185.90	$3,598.00	$23,890.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $391.09 / $18,115.80 / $18,115.80	Facility	52	$391.09	$18,115.80	$18,115.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.13 / $265.16 / $430.47	Facility		$213.13	$265.16	$430.47
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $9,606.00 / $21,278.00	Facility		$2,599.00	$9,606.00	$21,278.00