Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $9,674.00 / $22,788.00	Facility		$927.00	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $6,963.00 / $16,413.00	Facility		$2,399.48	$6,963.00	$16,413.00
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 $280.33 / $370.71 / $444.85	Professional		$280.33	$370.71	$444.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.86 / $450.10 / $797.50	Professional		$343.86	$450.10	$797.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,455.90 / $4,157.80	Facility		$55.00	$3,455.90	$4,157.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.01 / $468.10 / $719.28	Facility		$361.01	$468.10	$719.28
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