Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $9,639.00 / $22,788.00	Facility		$25.78	$9,639.00	$22,788.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $10.99 / $12.89 / $56.47	Facility	52	$10.99	$12.89	$56.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,349.65	Facility		$65.90	$100.00	$5,349.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $751.55 / $1,698.33	Facility		$351.29	$751.55	$1,698.33
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $22.80 / $36.61	Professional		$19.36	$22.80	$36.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $23.09 / $49.57	Professional		$17.67	$23.09	$49.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $2,492.14 / $2,855.25	Facility		$49.01	$2,492.14	$2,855.25
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $35.59 / $2,165.08 / $2,165.08	Facility	52	$35.59	$2,165.08	$2,165.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $26.44 / $54.31	Facility		$19.44	$26.44	$54.31
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
United Facility/Professional Facility Modifier Low / Median / High Price $850.11 / $3,964.00 / $9,131.00	Facility		$850.11	$3,964.00	$9,131.00