Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.77 / $390.30 / $2,150.67	Facility	52	$379.77	$390.30	$2,150.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,830.00 / $20,270.29	Facility		$4,108.00	$9,830.00	$20,270.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $510.44 / $991.03	Professional		$337.30	$510.44	$991.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.27 / $952.86 / $1,704.56	Professional		$743.27	$952.86	$1,704.56
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,642.88 / $9,102.00 / $11,500.00	Facility		$5,642.88	$9,102.00	$11,500.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,179.66 / $2,767.26 / $2,944.24	Facility	52	$1,179.66	$2,767.26	$2,944.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.64 / $933.71 / $1,278.42	Facility		$752.64	$933.71	$1,278.42
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $288.18 / $288.18 / $288.18	Facility	80	$288.18	$288.18	$288.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00