Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $11,324.00 / $24,401.00	Facility		$1,038.00	$11,324.00	$24,401.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $118.84 / $129.38 / $729.72	Facility	53	$118.84	$129.38	$729.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $17,895.58 / $39,336.00	Facility		$5,863.00	$17,895.58	$39,336.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $14,301.36	Facility		$66.09	$100.00	$14,301.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$23,091.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $668.95 / $811.77	Professional		$541.17	$668.95	$811.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.05 / $761.23 / $1,429.17	Professional		$602.05	$761.23	$1,429.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,385.51 / $31,754.00 / $31,754.00	Facility		$5,385.51	$31,754.00	$31,754.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $189.75 / $6,350.80 / $6,350.80	Facility	53	$189.75	$6,350.80	$6,350.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $875.81 / $18,892.00	Facility		$641.41	$875.81	$18,892.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $14,315.00 / $32,191.00	Facility		$7,212.00	$14,315.00	$32,191.00