Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $22,210.00	Facility		$2,645.00	$9,697.00	$22,210.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,343.60	Facility		$63.90	$100.00	$7,343.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.75 / $1,613.70 / $2,017.13	Professional		$1,344.75	$1,613.70	$2,017.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.47 / $1,729.12 / $3,113.10	Professional		$1,351.47	$1,729.12	$3,113.10
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 / $9,989.68 / $12,642.16	Facility		$55.00	$9,989.68	$12,642.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,531.66 / $1,992.90 / $3,057.27	Facility		$1,531.66	$1,992.90	$3,057.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $510.19 / $510.19 / $510.19	Facility	80	$510.19	$510.19	$510.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00