Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.75 / $5,382.00 / $16,713.00	Facility		$221.75	$5,382.00	$16,713.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $173.96 / $309.95	Professional		$128.86	$173.96	$309.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $223.98 / $409.36	Professional		$121.64	$223.98	$409.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $2,000.00 / $16,394.00	Facility		$855.00	$2,000.00	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.93 / $237.88 / $374.00	Facility		$131.93	$237.88	$374.00
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,523.00 / $5,830.00	Facility		$570.00	$1,523.00	$5,830.00