Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $4,056.00 / $16,109.00	Facility		$101.00	$4,056.00	$16,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,441.76 / $1,968.28 / $1,968.28	Facility	50	$1,441.76	$1,968.28	$1,968.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $70.73 / $199.35	Professional		$32.97	$70.73	$199.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $128.00 / $273.56	Professional		$31.18	$128.00	$273.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $259.77 / $12,000.00	Facility		$259.77	$259.77	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $100.67 / $221.19	Facility		$35.75	$100.67	$221.19
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,506.00 / $6,920.00	Facility		$545.00	$1,506.00	$6,920.00