Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
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 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $831.76	Professional		$354.81	$537.03	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,445.44	Professional		$562.34	$758.58	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $11,220.18	Facility		$6,456.54	$6,456.54	$11,220.18
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility	62	$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	AS	$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,621.81	Facility		$691.83	$912.01	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $29,512.09	Facility		$7,762.47	$14,125.38	$29,512.09