Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $5,165.00 / $16,713.00	Facility		$984.00	$5,165.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,980.00 / $1,980.00 / $1,980.00	Facility	50	$1,980.00	$1,980.00	$1,980.00
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 $113.55 / $180.01 / $1,258.67	Professional		$113.55	$180.01	$1,258.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $554.00 / $1,415.89	Professional		$167.16	$554.00	$1,415.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,534.64 / $1,557.12	Facility		$55.00	$1,534.64	$1,557.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $308.01 / $1,436.59	Facility		$196.15	$308.01	$1,436.59
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