Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.54 / $9,639.00 / $21,960.90	Facility		$1,117.54	$9,639.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
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 $711.09 / $896.75 / $1,345.13	Professional		$711.09	$896.75	$1,345.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $974.13 / $1,246.03 / $2,302.78	Professional		$974.13	$1,246.03	$2,302.78
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 / $8,861.04 / $10,934.28	Facility		$55.00	$8,861.04	$10,934.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $206.08 / $480.79 / $496.40	Facility	AS	$206.08	$480.79	$496.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.65 / $1,416.40 / $2,020.48	Facility		$1,052.65	$1,416.40	$2,020.48
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