Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $501.19	Professional		$229.09	$229.09	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Professional		$489.78	$489.78	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,000.00 / $1,621.81	Facility		$100.00	$1,000.00	$1,621.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $75.86	Professional		$39.81	$39.81	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $588.84	Professional		$489.78	$489.78	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $489.78 / $831.76	Professional		$128.82	$489.78	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Facility		$549.54	$549.54	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $1,096.48	Facility		$229.09	$257.04	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $831.76	Professional		$489.78	$588.84	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $407.38 / $616.60	Facility		$389.05	$407.38	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $707.95	Professional		$44.67	$44.67	$707.95