Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $22,387.21	Facility		$3,715.35	$9,549.93	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $17,782.79	Facility		$63.10	$100.00	$17,782.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $3,630.78	Professional		$2,398.83	$2,818.38	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,888.44	Professional		$2,137.96	$2,818.38	$5,888.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $27,542.29	Facility		$1,995.26	$1,995.26	$27,542.29
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility	62	$17,378.01	$17,378.01	$17,378.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $5,370.32	Facility		$2,570.40	$3,467.37	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96