Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.06 / $9,639.00 / $20,509.00	Facility		$1,204.06	$9,639.00	$20,509.00
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 $1,165.94 / $1,282.53 / $1,515.72	Professional		$1,165.94	$1,282.53	$1,515.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,049.34 / $1,346.96 / $2,510.52	Professional		$1,049.34	$1,346.96	$2,510.52
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 / $17,051.68 / $21,076.48	Facility		$55.00	$17,051.68	$21,076.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.13 / $520.29 / $535.98	Facility	AS	$223.13	$520.29	$535.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.94 / $1,564.47 / $2,325.60	Facility		$1,137.94	$1,564.47	$2,325.60
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