Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.04 / $9,665.00 / $21,960.90	Facility		$1,090.04	$9,665.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $991.06 / $1,266.97 / $1,520.36	Professional		$991.06	$1,266.97	$1,520.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,151.29 / $1,506.26 / $2,693.44	Professional		$1,151.29	$1,506.26	$2,693.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,502.15 / $17,944.81	Facility		$55.00	$14,502.15	$17,944.81
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $233.29 / $545.88 / $572.38	Facility	AS	$233.29	$545.88	$572.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,171.06 / $1,456.46 / $2,027.15	Facility		$1,171.06	$1,456.46	$2,027.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $389.87 / $389.87 / $389.87	Facility	AS	$389.87	$389.87	$389.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00