Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.80 / $5,178.00 / $16,713.00	Facility		$903.80	$5,178.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $321.66 / $321.66 / $321.66	Facility	50	$321.66	$321.66	$321.66
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 $97.17 / $156.63 / $1,173.88	Professional		$97.17	$156.63	$1,173.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $506.71 / $1,319.71	Professional		$146.71	$506.71	$1,319.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,368.96 / $1,378.34	Facility		$55.00	$1,368.96	$1,378.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.61 / $264.36 / $1,319.12	Facility		$169.61	$264.36	$1,319.12
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,920.00	Facility		$548.00	$1,523.00	$6,920.00