Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,423.00 / $18,293.00	Facility		$1,390.35	$6,423.00	$18,293.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $153.59 / $179.54 / $845.66	Facility	52	$153.59	$179.54	$845.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,464.00 / $10,705.00	Facility		$1,000.00	$4,464.00	$10,705.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $577.47 / $5,177.85	Facility		$67.90	$577.47	$5,177.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $4,986.07 / $14,175.70	Facility		$633.00	$4,986.07	$14,175.70
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $347.63 / $5,891.04	Professional		$316.02	$347.63	$5,891.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.41 / $347.21 / $658.97	Professional		$260.41	$347.21	$658.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,801.58 / $23,832.20	Facility		$55.00	$20,801.58	$23,832.20
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $520.79 / $18,071.64 / $18,071.64	Facility	52	$520.79	$18,071.64	$18,071.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.02 / $352.56 / $574.10	Facility		$286.02	$352.56	$574.10
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,030.00 / $9,131.00	Facility		$1,540.00	$4,030.00	$9,131.00