Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.74 / $3,697.28 / $15,747.00	Facility		$387.74	$3,697.28	$15,747.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.78 / $67.87 / $383.34	Facility	52	$30.78	$67.87	$383.34
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 $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $128.82 / $173.74	Professional		$70.88	$128.82	$173.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $121.79 / $217.17	Professional		$65.26	$121.79	$217.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $522.83 / $538.02	Facility		$55.00	$522.83	$538.02
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $135.34 / $253.46 / $253.46	Facility	52	$135.34	$253.46	$253.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $124.23 / $194.11	Facility		$73.05	$124.23	$194.11
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $1,533.00 / $7,317.00	Facility		$559.00	$1,533.00	$7,317.00