Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.19 / $9,639.00 / $20,509.00	Facility		$1,003.19	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,189.00 / $22,008.00	Facility		$4,108.00	$10,189.00	$22,008.00
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 $516.01 / $780.88 / $1,382.33	Professional		$516.01	$780.88	$1,382.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.67 / $1,365.34 / $2,431.10	Professional		$1,042.67	$1,365.34	$2,431.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,117.76 / $19,942.24	Facility		$55.00	$16,117.76	$19,942.24
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $210.68 / $493.20 / $518.83	Facility	AS	$210.68	$493.20	$518.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,059.43 / $1,320.47 / $1,909.97	Facility		$1,059.43	$1,320.47	$1,909.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $351.76 / $351.76 / $351.76	Facility	AS	$351.76	$351.76	$351.76
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