Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.26 / $9,639.00 / $20,509.00	Facility		$1,137.26	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
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 $986.60 / $1,108.02 / $1,440.43	Professional		$986.60	$1,108.02	$1,440.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.22 / $1,281.47 / $2,387.46	Professional		$997.22	$1,281.47	$2,387.46
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,129.24 / $11,281.77	Facility		$55.00	$9,129.24	$11,281.77
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $212.38 / $495.17 / $509.71	Facility	AS	$212.38	$495.17	$509.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.89 / $1,385.03 / $1,858.64	Facility		$1,067.89	$1,385.03	$1,858.64
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