Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.70 / $4,969.00 / $18,016.46	Facility		$662.70	$4,969.00	$18,016.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,815.96 / $6,655.75 / $8,496.00	Facility	50	$2,815.96	$6,655.75	$8,496.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $1,975.80 / $4,915.01	Facility		$96.60	$1,975.80	$4,915.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $233.86 / $280.63	Professional		$173.49	$233.86	$280.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $266.45 / $537.88	Professional		$192.52	$266.45	$537.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $476.50 / $1,039.10	Facility		$55.00	$476.50	$1,039.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $254.66 / $339.10	Facility		$187.74	$254.66	$339.10
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00