Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $9,639.00 / $20,509.00	Facility		$15.94	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,007.00 / $13,707.00	Facility		$2,402.00	$7,007.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $15.96 / $20.87	Professional		$12.66	$15.96	$20.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $18.84 / $39.50	Professional		$14.62	$18.84	$39.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38.24 / $55.00 / $1,300.00	Facility		$38.24	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $3.54 / $7.11 / $7.36	Facility	AS	$3.54	$7.11	$7.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $20.86 / $29.73	Facility		$15.52	$20.86	$29.73
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00