Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,189.00 / $22,008.00	Facility		$4,108.00	$10,189.00	$22,008.00
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 $285.93 / $432.70 / $676.99	Professional		$285.93	$432.70	$676.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.48 / $648.78 / $1,150.23	Professional		$506.48	$648.78	$1,150.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,216.22 / $5,268.33	Facility		$55.00	$4,216.22	$5,268.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.41 / $643.50 / $902.66	Facility		$512.41	$643.50	$902.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00