Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $18,252.00	Facility		$2,387.00	$6,880.00	$18,252.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $441.03 / $476.32 / $2,524.66	Facility	52	$441.03	$476.32	$2,524.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,467.00 / $26,317.00	Facility		$3,537.00	$10,467.00	$26,317.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,334.03	Facility		$66.00	$100.00	$12,334.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,421.39 / $25,316.19 / $50,000.00	Facility		$21,421.39	$25,316.19	$50,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $721.89 / $971.98 / $1,365.54	Professional		$721.89	$971.98	$1,365.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.76 / $1,117.78 / $2,003.30	Professional		$867.76	$1,117.78	$2,003.30
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 $3,185.12 / $26,542.00 / $96,178.75	Facility		$3,185.12	$26,542.00	$96,178.75
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,582.46 / $72,931.03 / $72,931.03	Facility	52	$1,582.46	$72,931.03	$72,931.03
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $197.81 / $9,116.37 / $9,116.37	Facility	AS	$197.81	$9,116.37	$9,116.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.76 / $1,155.98 / $1,617.56	Facility		$898.76	$1,155.98	$1,617.56
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $324.54 / $324.54 / $324.54	Facility	80	$324.54	$324.54	$324.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $275.86 / $275.86 / $275.86	Facility	AS	$275.86	$275.86	$275.86
United Facility/Professional Facility Modifier Low / Median / High Price $10,623.00 / $20,877.00 / $52,425.00	Facility		$10,623.00	$20,877.00	$52,425.00