Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $16,982.44	Facility		$1,698.24	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $436.52	Facility		$138.04	$173.78	$436.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $72.44 / $100.00	Facility		$47.86	$72.44	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $173.78	Professional		$102.33	$125.89	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $245.47	Professional		$102.33	$138.04	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $758.58	Facility		$54.95	$56.23	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $218.78	Facility		$117.49	$151.36	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54