Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.75 / $9,639.00 / $20,509.00	Facility		$1,402.75	$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 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.70 / $1,489.20 / $1,878.00	Professional		$1,353.70	$1,489.20	$1,878.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.33 / $1,568.24 / $2,887.37	Professional		$1,218.33	$1,568.24	$2,887.37
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 / $13,663.98 / $16,807.45	Facility		$55.00	$13,663.98	$16,807.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $260.08 / $606.29 / $623.41	Facility	AS	$260.08	$606.29	$623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,326.75 / $1,818.75 / $2,713.20	Facility		$1,326.75	$1,818.75	$2,713.20
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