Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $9,639.00 / $20,509.00	Facility		$149.60	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,957.28 / $4,133.74 / $8,589.00	Facility		$1,957.28	$4,133.74	$8,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $6,007.09	Facility		$64.00	$100.00	$6,007.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $140.72 / $186.46	Professional		$138.12	$140.72	$186.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $163.13 / $300.56	Professional		$124.31	$163.13	$300.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $337.58 / $1,300.00	Facility		$55.00	$337.58	$1,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $200.84 / $326.39	Facility		$143.69	$200.84	$326.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00