Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,512.00 / $7,231.00 / $18,150.00	Facility		$2,512.00	$7,231.00	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,455.40	Facility		$64.00	$100.00	$5,455.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $396.87 / $500.49 / $970.01	Professional		$396.87	$500.49	$970.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $885.82 / $1,657.39	Professional		$707.51	$885.82	$1,657.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,461.52 / $9,310.84	Facility		$55.00	$7,461.52	$9,310.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $142.25 / $333.49 / $357.85	Facility	AS	$142.25	$333.49	$357.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.64 / $849.53 / $1,172.08	Facility		$611.64	$849.53	$1,172.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00