Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.58 / $4,013.00 / $16,125.00	Facility		$753.58	$4,013.00	$16,125.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.87 / $276.02 / $4,400.97	Facility	52	$45.87	$276.02	$4,400.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $1,081.16 / $1,632.35	Professional		$101.72	$1,081.16	$1,632.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $747.79 / $1,904.41	Professional		$93.70	$747.79	$1,904.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $426.91 / $455.15	Facility		$55.00	$426.91	$455.15
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $194.08 / $364.12 / $364.12	Facility	52	$194.08	$364.12	$364.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.37 / $908.87 / $1,852.75	Facility		$109.37	$908.87	$1,852.75
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00