Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,685.19 / $9,690.00 / $21,479.00	Facility		$2,685.19	$9,690.00	$21,479.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $494.64 / $536.40 / $3,537.46	Facility	54	$494.64	$536.40	$3,537.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $9,126.00 / $18,526.00	Facility		$2,415.00	$9,126.00	$18,526.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,704.07	Facility		$66.00	$100.00	$12,704.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.04 / $1,726.46 / $2,353.27	Facility		$907.04	$1,726.46	$2,353.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $472.45 / $915.69 / $1,236.18	Professional		$472.45	$915.69	$1,236.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.81 / $956.63 / $1,802.68	Professional		$718.81	$956.63	$1,802.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,479.20 / $11,500.00 / $26,542.00	Facility		$3,479.20	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,237.44 / $4,569.92 / $4,569.92	Facility	54	$1,237.44	$4,569.92	$4,569.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.59 / $983.28 / $1,872.00	Facility		$791.59	$983.28	$1,872.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,430.62 / $1,430.62 / $1,430.62	Facility	54	$1,430.62	$1,430.62	$1,430.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00