Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $7,773.00 / $17,702.00	Facility		$3,537.00	$7,773.00	$17,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.80 / $311.76 / $1,082.88	Professional		$264.80	$311.76	$1,082.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $909.60 / $6,126.99 / $33,027.85	Facility		$909.60	$6,126.99	$33,027.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $170.89 / $222.16	Professional		$62.42	$170.89	$222.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37,178.01 / $37,178.01 / $39,036.91	Professional		$37,178.01	$37,178.01	$39,036.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.35 / $185.89 / $290.51	Professional		$162.35	$185.89	$290.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $692.56 / $150,403.79 / $150,403.79	Facility		$692.56	$150,403.79	$150,403.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,006.23 / $2,006.23 / $2,105.28	Professional		$2,006.23	$2,006.23	$2,105.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.48 / $205.07 / $257.70	Facility		$167.48	$205.07	$257.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $168.99 / $205.07	Professional		$143.18	$168.99	$205.07
United Facility/Professional Facility Modifier Low / Median / High Price $52,515.11 / $52,515.11 / $52,515.11	Facility		$52,515.11	$52,515.11	$52,515.11
United Facility/Professional Professional Modifier Low / Median / High Price $267.68 / $407.92 / $785.62	Professional		$267.68	$407.92	$785.62