Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.34 / $9,639.00 / $20,509.00	Facility		$640.34	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,747.39 / $21,259.64	Facility		$3,518.00	$8,747.39	$21,259.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $390.54 / $591.01 / $865.69	Professional		$390.54	$591.01	$865.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.27 / $846.46 / $1,489.77	Professional		$649.27	$846.46	$1,489.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,017.75 / $9,957.74	Facility		$55.00	$8,017.75	$9,957.74
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.97 / $302.45 / $321.66	Facility	AS	$128.97	$302.45	$321.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $677.17 / $890.11 / $1,384.91	Facility		$677.17	$890.11	$1,384.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $214.70 / $214.70 / $214.70	Facility	AS	$214.70	$214.70	$214.70
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $18,315.00 / $45,545.00	Facility		$8,822.00	$18,315.00	$45,545.00