Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.44 / $9,639.00 / $20,509.00	Facility		$354.44	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.04 / $3,547.00 / $9,381.00	Facility		$964.04	$3,547.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.01 / $376.02 / $474.20	Professional		$338.01	$376.02	$474.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $399.70 / $730.64	Professional		$304.20	$399.70	$730.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $872.59 / $1,577.52	Facility		$55.00	$872.59	$1,577.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.27 / $432.40 / $678.30	Facility		$343.27	$432.40	$678.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00