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 $102.10 / $190.15 / $1,082.88	Professional		$102.10	$190.15	$1,082.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,552.24 / $8,441.46 / $17,398.87	Facility		$3,552.24	$8,441.46	$17,398.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $163.02 / $211.93	Professional		$62.42	$163.02	$211.93
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 $154.87 / $176.97 / $277.13	Professional		$154.87	$176.97	$277.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $639.67 / $11,028.25 / $11,028.25	Facility		$639.67	$11,028.25	$11,028.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.00 / $1,397.00 / $2,367.00	Professional		$1,397.00	$1,397.00	$2,367.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.24 / $195.62 / $247.20	Facility		$158.24	$195.62	$247.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $160.88 / $163.02	Professional		$153.81	$160.88	$163.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,806.27 / $5,934.90 / $5,934.90	Facility		$3,806.27	$5,934.90	$5,934.90
United Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $134.59 / $300.58	Professional		$90.37	$134.59	$300.58