Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $4,848.00 / $16,125.00	Facility		$158.96	$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 $134.40 / $167.65 / $201.60	Professional		$134.40	$167.65	$201.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $172.71 / $333.87	Professional		$129.97	$172.71	$333.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $625.20 / $655.93 / $12,000.00	Facility		$625.20	$655.93	$12,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.11 / $176.76 / $232.26	Facility		$132.11	$176.76	$232.26
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