Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,216.00 / $10,070.00 / $24,132.00	Facility		$3,216.00	$10,070.00	$24,132.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.00 / $12,001.00 / $24,099.57	Facility		$5,343.00	$12,001.00	$24,099.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,455.40	Facility		$64.20	$100.00	$5,455.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $810.72 / $1,132.42 / $1,358.90	Professional		$810.72	$1,132.42	$1,358.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,019.18 / $1,302.92 / $2,341.85	Professional		$1,019.18	$1,302.92	$2,341.85
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 / $8,112.30 / $21,000.00	Facility		$55.00	$8,112.30	$21,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $198.48 / $464.74 / $500.32	Facility	AS	$198.48	$464.74	$500.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,033.38 / $1,310.63 / $1,827.55	Facility		$1,033.38	$1,310.63	$1,827.55
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $386.21 / $386.21 / $386.21	Facility	80	$386.21	$386.21	$386.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $328.28 / $328.28 / $328.28	Facility	AS	$328.28	$328.28	$328.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00