Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,293.00	Facility		$1,992.00	$7,494.00	$18,293.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $456.53 / $490.34 / $3,191.67	Facility	54	$456.53	$490.34	$3,191.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,724.66	Facility		$66.00	$100.00	$9,724.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,726.46 / $2,353.27	Facility		$705.31	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $453.83 / $822.12 / $1,109.85	Professional		$453.83	$822.12	$1,109.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.32 / $859.84 / $1,620.48	Professional		$646.32	$859.84	$1,620.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,131.60 / $11,500.00 / $26,542.00	Facility		$3,131.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,114.32 / $4,569.92 / $4,569.92	Facility	54	$1,114.32	$4,569.92	$4,569.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.13 / $890.75 / $1,650.00	Facility		$718.13	$890.75	$1,650.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,288.66 / $1,288.66 / $1,288.66	Facility	54	$1,288.66	$1,288.66	$1,288.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00