Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.71 / $9,690.00 / $22,788.00	Facility		$847.71	$9,690.00	$22,788.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $359.56 / $423.86 / $2,418.66	Facility	52	$359.56	$423.86	$2,418.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $901.44 / $1,208.40	Professional		$595.67	$901.44	$1,208.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $1,022.29 / $1,673.17	Professional		$783.67	$1,022.29	$1,673.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,690.00 / $7,885.44	Facility		$55.00	$7,690.00	$7,885.44
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,323.53 / $3,102.73 / $3,308.82	Facility	52	$1,323.53	$3,102.73	$3,308.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.78 / $1,044.89 / $1,597.81	Facility		$815.78	$1,044.89	$1,597.81
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,656.00 / $5,978.00 / $18,709.00	Facility		$1,656.00	$5,978.00	$18,709.00