Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $26,302.68	Facility		$4,897.79	$10,232.93	$26,302.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,230.27	Professional		$812.83	$1,023.29	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,187.76	Professional		$870.96	$1,148.15	$2,187.76
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 / $8,128.31 / $20,892.96	Facility		$54.95	$8,128.31	$20,892.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	AS	$812.83	$812.83	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,089.30	Facility		$977.24	$1,288.25	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96