Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.37 / $464.67 / $464.67	Facility		$435.37	$464.67	$464.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.26 / $400.13 / $464.67	Professional		$309.26	$400.13	$464.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.16 / $458.00 / $520.75	Professional		$394.16	$458.00	$520.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,054.80 / $2,572.80	Facility		$97.00	$1,054.80	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $396.90 / $567.00 / $1,355.36	Professional		$396.90	$567.00	$1,355.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $921.68 / $921.68 / $967.76	Professional		$921.68	$921.68	$967.76
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 $669.47 / $3,728.65 / $3,728.65	Facility		$669.47	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,390.37 / $2,390.37 / $3,160.73	Professional		$2,390.37	$2,390.37	$3,160.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.41 / $515.39 / $664.48	Facility		$434.41	$515.39	$664.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.93 / $1,800,000.00 / $2,400,000.00	Professional		$373.93	$1,800,000.00	$2,400,000.00