Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,413.10	Facility		$66.07	$2,754.23	$7,413.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,288.25	Professional		$870.96	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,041.74	Professional		$812.83	$1,071.52	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,137.96	Facility		$954.99	$1,258.93	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96