Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.16 / $4,848.00 / $16,125.00	Facility		$72.16	$4,848.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $63.63 / $96.76	Professional		$47.13	$63.63	$96.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $70.59 / $127.51	Professional		$43.62	$70.59	$127.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $201.33 / $212.14 / $12,000.00	Facility		$201.33	$212.14	$12,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $20.13 / $21.21 / $21.21	Facility	AS	$20.13	$21.21	$21.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $64.34 / $104.19	Facility		$42.17	$64.34	$104.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $26.85 / $26.85 / $26.85	Facility	80	$26.85	$26.85	$26.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $22.82 / $22.82 / $22.82	Facility	AS	$22.82	$22.82	$22.82
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