Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.57 / $136.16 / $136.16	Facility		$127.57	$136.16	$136.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $127.56 / $140.32	Professional		$117.25	$127.56	$140.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $152.76 / $177.00	Professional		$117.86	$152.76	$177.00
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 $112.70 / $161.00 / $392.47	Professional		$112.70	$161.00	$392.47
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 $242.25 / $5,062.89 / $5,062.89	Facility		$242.25	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.03 / $850.03 / $1,198.95	Professional		$850.03	$850.03	$1,198.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $175.62 / $243.23	Facility		$133.94	$175.62	$243.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $146.97 / $2,400,000.00	Professional		$141.86	$146.97	$2,400,000.00