Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.46 / $9,900.00 / $22,759.27	Facility		$2,802.46	$9,900.00	$22,759.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.73 / $9,830.00 / $20,418.00	Facility		$4,019.73	$9,830.00	$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 $810.72 / $1,064.08 / $1,276.90	Professional		$810.72	$1,064.08	$1,276.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.67 / $1,225.27 / $2,181.89	Professional		$957.67	$1,225.27	$2,181.89
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 / $6,235.88 / $7,871.08	Facility		$55.00	$6,235.88	$7,871.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $972.67 / $1,250.36 / $1,753.28	Facility		$972.67	$1,250.36	$1,753.28
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $366.30 / $366.30 / $366.30	Facility	80	$366.30	$366.30	$366.30
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