Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.22 / $9,639.00 / $20,509.00	Facility		$1,274.22	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,557.00 / $19,252.00	Facility		$3,403.00	$9,557.00	$19,252.00
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 $1,042.44 / $1,228.98 / $1,597.67	Professional		$1,042.44	$1,228.98	$1,597.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.08 / $1,422.25 / $2,648.96	Professional		$1,106.08	$1,422.25	$2,648.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,134.90 / $12,535.65	Facility		$55.00	$10,134.90	$12,535.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $235.76 / $549.66 / $565.58	Facility	AS	$235.76	$549.66	$565.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.64 / $1,656.98 / $2,242.41	Facility		$1,201.64	$1,656.98	$2,242.41
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