Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.64 / $10,051.00 / $20,509.00	Facility		$1,864.64	$10,051.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,786.54 / $2,551.88	Professional		$1,180.56	$1,786.54	$2,551.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,919.27 / $2,502.53 / $4,461.95	Professional		$1,919.27	$2,502.53	$4,461.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,795.93 / $25,216.62	Facility		$55.00	$20,795.93	$25,216.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $390.21 / $919.95 / $960.27	Facility	AS	$390.21	$919.95	$960.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,002.02 / $2,488.75 / $3,456.77	Facility		$2,002.02	$2,488.75	$3,456.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $643.78 / $643.78 / $643.78	Facility	AS	$643.78	$643.78	$643.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00