Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.13 / $98.30 / $98.30	Facility		$92.13	$98.30	$98.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $92.13 / $129.68	Professional		$84.68	$92.13	$129.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $88.32 / $130.56	Professional		$82.00	$88.32	$130.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.00 / $173.08	Professional		$50.40	$72.00	$173.08
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 $278.33 / $3,728.65 / $3,728.65	Facility		$278.33	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $902.23 / $902.23 / $1,377.15	Professional		$902.23	$902.23	$1,377.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.86 / $194.94 / $252.56	Facility		$109.86	$194.94	$252.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $1,800,000.00 / $2,400,000.00	Professional		$163.00	$1,800,000.00	$2,400,000.00