Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.99 / $5,505.00 / $17,030.00	Facility		$401.99	$5,505.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $225.99 / $344.49	Professional		$79.08	$225.99	$344.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $237.24 / $462.67	Professional		$73.76	$237.24	$462.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $592.13 / $608.65	Facility		$55.00	$592.13	$608.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $251.60 / $452.66	Facility		$85.55	$251.60	$452.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00