Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $6,423.00 / $17,538.00	Facility		$1,188.00	$6,423.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,663.63	Facility		$67.90	$100.00	$6,663.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.36 / $1,766.05 / $4,716.43	Facility		$628.36	$1,766.05	$4,716.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $117.21 / $158.46	Professional		$83.77	$117.21	$158.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $128.93 / $240.59	Professional		$98.42	$128.93	$240.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $590.88 / $7,929.30 / $16,394.00	Facility		$590.88	$7,929.30	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $190.52 / $6,012.68 / $6,012.68	Facility	52	$190.52	$6,012.68	$6,012.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $132.47 / $210.32	Facility		$102.85	$132.47	$210.32
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00