Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $22,908.68	Facility		$4,466.84	$10,232.93	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,165.95	Facility		$63.10	$100.00	$6,165.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,122.02	Professional		$741.31	$851.14	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,778.28	Professional		$707.95	$933.25	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	AS	$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,862.09	Facility		$870.96	$1,148.15	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87