Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.60 / $9,690.00 / $21,960.90	Facility		$267.60	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $250.69 / $267.60	Professional		$230.40	$250.69	$267.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $299.00 / $328.00	Professional		$231.24	$299.00	$328.00
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 $198.10 / $283.00 / $675.24	Professional		$198.10	$283.00	$675.24
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 $525.73 / $5,062.89 / $5,062.89	Facility		$525.73	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.11 / $1,813.11 / $2,601.75	Professional		$1,813.11	$1,813.11	$2,601.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.91 / $372.50 / $504.03	Facility		$281.91	$372.50	$504.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $1,800,000.00 / $2,400,000.00	Professional		$307.88	$1,800,000.00	$2,400,000.00