Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,218.00 / $17,380.00	Facility		$2,020.00	$6,218.00	$17,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,417.00 / $13,824.26	Facility		$2,456.00	$6,417.00	$13,824.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,349.65	Facility		$64.20	$100.00	$5,349.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $927.15 / $1,126.80	Professional		$744.60	$927.15	$1,126.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.77 / $1,066.22 / $1,890.06	Professional		$830.77	$1,066.22	$1,890.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,818.65 / $4,797.50	Facility		$55.00	$3,818.65	$4,797.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.39 / $1,123.29 / $1,730.27	Facility		$847.39	$1,123.29	$1,730.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,099.00 / $11,982.00	Facility		$2,145.00	$4,099.00	$11,982.00