Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,201.48 / $6,880.00 / $17,393.00	Facility		$2,201.48	$6,880.00	$17,393.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,425.38 / $9,557.00 / $19,252.00	Facility		$4,425.38	$9,557.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $11,407.14	Facility		$64.00	$100.00	$11,407.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.82 / $2,533.96 / $3,420.85	Professional		$1,851.82	$2,533.96	$3,420.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,049.37 / $2,787.36 / $5,366.00	Professional		$2,049.37	$2,787.36	$5,366.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $8,279.24 / $13,130.70	Facility		$2,000.00	$8,279.24	$13,130.70
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,188.38 / $6,409.11 / $6,951.51	Facility	62	$3,188.38	$6,409.11	$6,951.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,091.13 / $2,809.87 / $3,872.78	Facility		$2,091.13	$2,809.87	$3,872.78
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,366.58 / $3,366.58 / $3,366.58	Facility	62	$3,366.58	$3,366.58	$3,366.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,092.00 / $7,483.00 / $16,148.00	Facility		$4,092.00	$7,483.00	$16,148.00