Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,104.00 / $18,150.00	Facility		$3,908.00	$9,104.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.85 / $490.73 / $1,407.51	Professional		$224.85	$490.73	$1,407.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $723.78 / $1,580.37 / $8,651.24	Facility		$723.78	$1,580.37	$8,651.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $2,217.80 / $7,059.58	Professional		$171.10	$2,217.80	$7,059.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9,012.41 / $9,012.41 / $9,463.03	Professional		$9,012.41	$9,012.41	$9,463.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $2,052.50 / $4,957.57	Professional		$166.13	$2,052.50	$4,957.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,289.32 / $36,459.75 / $36,459.75	Facility		$5,289.32	$36,459.75	$36,459.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,960.08 / $19,651.75 / $19,651.75	Professional		$5,960.08	$19,651.75	$19,651.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $776.04 / $4,648.93	Facility		$194.32	$776.04	$4,648.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $283.24 / $3,914.68	Professional		$161.93	$283.24	$3,914.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,582.07 / $5,582.07 / $24,603.99	Facility		$5,582.07	$5,582.07	$24,603.99
United Facility/Professional Professional Modifier Low / Median / High Price $902.16 / $1,445.32 / $3,774.77	Professional		$902.16	$1,445.32	$3,774.77