Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.20 / $9,665.00 / $20,509.00	Facility		$1,566.20	$9,665.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.18 / $1,521.28 / $1,977.66	Professional		$1,285.18	$1,521.28	$1,977.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,369.15 / $1,768.18 / $3,353.00	Professional		$1,369.15	$1,768.18	$3,353.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,316.07 / $18,923.41	Facility		$55.00	$15,316.07	$18,923.41
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,823.08 / $4,249.09 / $4,374.39	Facility	62	$1,823.08	$4,249.09	$4,374.39
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $291.69 / $679.85 / $699.90	Facility	AS	$291.69	$679.85	$699.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,473.48 / $1,901.60 / $2,540.10	Facility		$1,473.48	$1,901.60	$2,540.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00