Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27,789.86 / $27,789.86 / $27,789.86	Facility		$27,789.86	$27,789.86	$27,789.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,399.57 / $11,399.57 / $11,399.57	Professional		$11,399.57	$11,399.57	$11,399.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,958.00 / $13,459.00	Facility		$2,143.00	$4,958.00	$13,459.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $154.00 / $317.00	Professional		$11.55	$154.00	$317.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $9,972.28 / $39,433.00	Facility		$92.60	$9,972.28	$39,433.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9,300.16 / $9,300.16 / $9,765.17	Professional		$9,300.16	$9,300.16	$9,765.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00