Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,362.00 / $15,399.00	Facility		$3,518.00	$7,362.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.34 / $930.07 / $1,215.78	Professional		$651.34	$930.07	$1,215.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,709.89 / $9,292.58 / $17,938.13	Facility		$3,709.89	$9,292.58	$17,938.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $112.46	Professional		$40.00	$40.00	$112.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,331.80 / $4,331.80 / $4,548.39	Professional		$4,331.80	$4,331.80	$4,548.39
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 $4,843.96 / $17,524.30 / $17,524.30	Facility		$4,843.96	$17,524.30	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,191.10 / $4,388.18 / $4,655.12	Professional		$4,191.10	$4,388.18	$4,655.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.83 / $1,088.98 / $1,411.28	Facility		$883.83	$1,088.98	$1,411.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.33 / $882.05 / $907.48	Professional		$852.33	$882.05	$907.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,067.33 / $5,067.33 / $5,067.33	Facility		$5,067.33	$5,067.33	$5,067.33
United Facility/Professional Professional Modifier Low / Median / High Price $558.60 / $847.48 / $1,707.41	Professional		$558.60	$847.48	$1,707.41