Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.50 / $5,815.00 / $16,756.00	Facility		$475.50	$5,815.00	$16,756.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $206.51 / $303.83 / $2,217.36	Facility	54	$206.51	$303.83	$2,217.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $6,797.00 / $13,707.00	Facility		$2,675.00	$6,797.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $266.19 / $440.24 / $815.48	Professional		$266.19	$440.24	$815.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $528.05 / $929.78	Professional		$329.53	$528.05	$929.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,206.19 / $2,244.48 / $26,542.00	Facility		$2,206.19	$2,244.48	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,031.06 / $1,147.58 / $1,147.58	Facility	54	$1,031.06	$1,147.58	$1,147.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.69 / $445.26 / $724.87	Facility		$295.69	$445.26	$724.87
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $925.70 / $925.70 / $925.70	Facility	54	$925.70	$925.70	$925.70
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00