Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
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 $709.38 / $1,002.76 / $1,203.31	Professional		$709.38	$1,002.76	$1,203.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.48 / $1,165.54 / $2,051.35	Professional		$902.48	$1,165.54	$2,051.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,677.12 / $8,463.20	Facility		$55.00	$6,677.12	$8,463.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.66 / $411.15 / $442.90	Facility	AS	$175.66	$411.15	$442.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $915.06 / $1,142.56 / $1,588.55	Facility		$915.06	$1,142.56	$1,588.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $294.10 / $294.10 / $294.10	Facility	AS	$294.10	$294.10	$294.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00