Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,063.87	Facility		$66.00	$100.00	$10,063.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $881.24 / $1,189.67	Professional		$505.96	$881.24	$1,189.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $991.13 / $1,769.00	Professional		$715.50	$991.13	$1,769.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,267.68 / $19,913.50 / $26,542.00	Facility		$4,267.68	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.71 / $1,955.22 / $1,955.22	Facility	AS	$172.71	$1,955.22	$1,955.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.91 / $1,008.02 / $1,331.37	Facility		$792.91	$1,008.02	$1,331.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $245.94 / $245.94 / $245.94	Facility	AS	$245.94	$245.94	$245.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00