Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $61.39 / $4,513.47	Facility		$57.51	$61.39	$4,513.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $56.03 / $63.19	Professional		$52.85	$56.03	$63.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $68.00 / $81.00	Professional		$53.20	$68.00	$81.00
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 $56.00 / $80.00 / $192.58	Professional		$56.00	$80.00	$192.58
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 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $5,062.89 / $5,062.89	Facility		$115.66	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $402.94 / $402.94 / $572.40	Professional		$402.94	$402.94	$572.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $82.77 / $110.87	Facility		$63.19	$82.77	$110.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $2,400,000.00 / $2,400,000.00	Professional		$67.73	$2,400,000.00	$2,400,000.00