Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.45 / $4,932.00 / $16,713.00	Facility		$483.45	$4,932.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $579.75 / $2,693.95 / $16,442.75	Facility	50	$579.75	$2,693.95	$16,442.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,814.00 / $10,536.00	Facility		$1,988.00	$4,814.00	$10,536.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $658.07 / $789.68	Professional		$164.56	$658.07	$789.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.08 / $712.19 / $1,310.35	Professional		$520.08	$712.19	$1,310.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,067.52 / $11,500.00 / $12,000.00	Facility		$2,067.52	$11,500.00	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.51 / $534.20 / $854.63	Facility		$227.51	$534.20	$854.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,454.00 / $15,471.00	Facility		$3,842.00	$7,454.00	$15,471.00