Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Facility		$210.00	$210.00	$210.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $70.14 / $184.74	Facility		$58.02	$70.14	$184.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $267.74 / $837.20	Facility		$97.00	$267.74	$837.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $35.18 / $565.00	Professional		$26.06	$35.18	$565.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $256.31 / $691.29	Professional		$24.11	$256.31	$691.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $116.99 / $116.99	Facility		$110.49	$116.99	$116.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $210.00 / $571.27	Facility		$24.63	$210.00	$571.27
United Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45