Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $191.49 / $191.49	Facility		$179.46	$191.49	$191.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $171.42 / $191.49	Professional		$124.82	$171.42	$191.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $213.00 / $507.00	Professional		$171.50	$213.00	$507.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,034.25 / $2,572.80	Facility		$97.00	$1,034.25	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $323.00 / $663.99	Professional		$226.10	$323.00	$663.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.48 / $1,251.48 / $1,314.05	Professional		$1,251.48	$1,251.48	$1,314.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $367.69 / $5,062.89 / $5,062.89	Facility		$367.69	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.00 / $1,274.00 / $1,820.10	Professional		$1,274.00	$1,274.00	$1,820.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $260.06 / $343.78	Facility		$181.22	$260.06	$343.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.30 / $2,250,000.00 / $2,400,000.00	Professional		$215.30	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $180.00 / $307.76	Professional		$169.00	$180.00	$307.76