Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $17,378.01	Facility		$1,778.28	$6,025.60	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $446.68	Professional		$331.13	$338.84	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $758.58	Professional		$288.40	$380.19	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,623.41	Facility		$5,011.87	$5,011.87	$5,623.41
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility	62	$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	AS	$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $426.58 / $724.44	Facility		$338.84	$426.58	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $7,585.78	Facility		$588.84	$1,584.89	$7,585.78