Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.11 / $5,308.00 / $17,054.00	Facility		$645.11	$5,308.00	$17,054.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $693.10 / $2,296.37 / $13,049.05	Facility	50	$693.10	$2,296.37	$13,049.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.88 / $586.91 / $1,290.22	Professional	50	$98.88	$586.91	$1,290.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $145.76 / $249.65 / $249.65	Professional	50	$145.76	$249.65	$249.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,663.00 / $7,070.00 / $14,103.00	Facility		$2,663.00	$7,070.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $164.41 / $340.69 / $479.93	Professional	50	$164.41	$340.69	$479.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,238.60	Facility		$64.20	$100.00	$5,238.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $154.34 / $394.09	Professional		$88.61	$154.34	$394.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.71 / $226.64 / $390.93	Professional		$113.71	$226.64	$390.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $546.48 / $564.67	Facility		$55.00	$546.48	$564.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.47 / $241.38 / $390.09	Facility		$123.47	$241.38	$390.09
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00