Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,303.00 / $15,399.00	Facility		$3,518.00	$7,303.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $769.43 / $1,082.88	Professional		$535.16	$769.43	$1,082.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,969.32 / $8,420.96 / $17,398.87	Facility		$2,969.32	$8,420.96	$17,398.87
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 $2,726.05 / $2,726.05 / $2,862.35	Professional		$2,726.05	$2,726.05	$2,862.35
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 $1,610.07 / $11,028.25 / $11,028.25	Facility		$1,610.07	$11,028.25	$11,028.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,443.79 / $3,443.79 / $3,645.44	Professional		$3,443.79	$3,443.79	$3,645.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.53 / $215.10 / $289.14	Facility		$185.53	$215.10	$289.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $159.66 / $165.46	Professional		$159.66	$159.66	$165.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,806.27 / $3,806.27 / $3,806.27	Facility		$3,806.27	$3,806.27	$3,806.27
United Facility/Professional Professional Modifier Low / Median / High Price $459.20 / $707.52 / $1,676.99	Professional		$459.20	$707.52	$1,676.99