Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.33 / $6,229.00 / $17,030.00	Facility		$433.33	$6,229.00	$17,030.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,475.85 / $4,475.85 / $10,062.00	Facility	50	$4,475.85	$4,475.85	$10,062.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,722.50 / $2,722.50 / $2,722.50	Professional	50	$2,722.50	$2,722.50	$2,722.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $520.71 / $619.99 / $861.73	Professional	50	$520.71	$619.99	$861.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $567.88 / $681.46	Professional		$337.30	$567.88	$681.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.89 / $549.95 / $984.24	Professional		$401.89	$549.95	$984.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,730.72 / $5,564.75 / $26,542.00	Facility		$2,730.72	$5,564.75	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.27 / $533.33 / $772.32	Facility		$379.27	$533.33	$772.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $9,131.00	Facility		$2,230.00	$4,218.00	$9,131.00