Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $114.86 / $114.86	Facility		$107.63	$114.86	$114.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $107.62 / $118.39	Professional		$98.92	$107.62	$118.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $128.37 / $151.00	Professional		$99.45	$128.37	$151.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,054.80 / $2,572.80	Facility		$98.20	$1,054.80	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.00 / $343.72	Professional		$100.00	$141.00	$343.72
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 $211.34 / $5,062.89 / $5,062.89	Facility		$211.34	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $738.66 / $738.66 / $1,046.40	Professional		$738.66	$738.66	$1,046.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $151.50 / $206.44	Facility		$115.81	$151.50	$206.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $1,800,000.00 / $2,400,000.00	Professional		$123.73	$1,800,000.00	$2,400,000.00