Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,122.50 / $4,122.50 / $4,122.50	Facility	50	$4,122.50	$4,122.50	$4,122.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $730.06 / $1,307.57	Facility		$56.00	$730.06	$1,307.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $143.71 / $378.42	Professional		$85.69	$143.71	$378.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $219.02 / $424.95	Professional		$79.91	$219.02	$424.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $366.35 / $410.25	Facility		$55.00	$366.35	$410.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.53 / $184.53 / $361.53	Facility		$93.53	$184.53	$361.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,399.00	Facility		$1,198.00	$2,699.00	$7,399.00