Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,390.00 / $17,328.00	Facility		$1,335.00	$5,390.00	$17,328.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $437.92 / $458.06 / $2,368.14	Facility	52	$437.92	$458.06	$2,368.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $13,707.00	Facility		$1,759.00	$4,814.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,282.23	Facility		$66.00	$100.00	$7,282.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,445.91 / $25,345.17 / $50,000.00	Facility		$21,445.91	$25,345.17	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $591.21 / $905.07 / $1,221.83	Professional		$591.21	$905.07	$1,221.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.97 / $1,040.83 / $1,877.97	Professional		$808.97	$1,040.83	$1,877.97
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,198.76 / $12,000.00 / $96,288.85	Facility		$5,198.76	$12,000.00	$96,288.85
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,476.06 / $73,014.52 / $73,014.52	Facility	52	$1,476.06	$73,014.52	$73,014.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.55 / $1,096.18 / $1,508.99	Facility		$837.55	$1,096.18	$1,508.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $303.33 / $303.33 / $303.33	Facility	80	$303.33	$303.33	$303.33
United Facility/Professional Facility Modifier Low / Median / High Price $10,623.00 / $20,877.00 / $50,904.00	Facility		$10,623.00	$20,877.00	$50,904.00