Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $22,387.21	Facility		$3,981.07	$10,000.00	$22,387.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $9,120.11	Facility		$63.10	$100.00	$9,120.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,698.24	Professional		$933.25	$1,258.93	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,691.53	Professional		$1,023.29	$1,380.38	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,772.37	Facility		$54.95	$56.23	$9,772.37
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	54	$6,918.31	$6,918.31	$6,918.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	AS	$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,454.71	Facility		$1,202.26	$1,621.81	$2,454.71
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