Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $811.68 / $974.02	Professional		$493.30	$811.68	$974.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $903.15 / $1,644.02	Professional		$651.66	$903.15	$1,644.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,983.52 / $11,500.00 / $26,542.00	Facility		$3,983.52	$11,500.00	$26,542.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.14 / $867.02 / $1,118.06	Facility		$643.14	$867.02	$1,118.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,454.00 / $15,471.00	Facility		$3,842.00	$7,454.00	$15,471.00