Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,879.57 / $10,070.00 / $22,788.00	Facility		$2,879.57	$10,070.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,752.00 / $32,242.00	Facility		$4,294.00	$14,752.00	$32,242.00
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 $2,670.14 / $4,040.70 / $5,599.40	Professional		$2,670.14	$4,040.70	$5,599.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,294.46 / $5,548.10 / $14,065.00	Professional		$4,294.46	$5,548.10	$14,065.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $88,075.68 / $108,444.84	Facility		$55.00	$88,075.68	$108,444.84
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $5,486.51 / $12,811.62 / $13,302.56	Facility	62	$5,486.51	$12,811.62	$13,302.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,337.26 / $5,233.85 / $6,967.36	Facility		$3,337.26	$5,233.85	$6,967.36
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $6,726.13 / $6,726.13 / $6,726.13	Facility	62	$6,726.13	$6,726.13	$6,726.13
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