Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.66 / $10,061.00 / $20,509.00	Facility		$2,210.66	$10,061.00	$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 $916.97 / $1,387.66 / $3,037.02	Professional		$916.97	$1,387.66	$3,037.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,292.30 / $2,991.41 / $5,324.13	Professional		$2,292.30	$2,991.41	$5,324.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,167.52 / $32,944.92	Facility		$55.00	$27,167.52	$32,944.92
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $467.29 / $1,101.15 / $1,146.01	Facility	AS	$467.29	$1,101.15	$1,146.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,242.79 / $2,895.19 / $4,049.36	Facility		$2,242.79	$2,895.19	$4,049.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $772.54 / $772.54 / $772.54	Facility	AS	$772.54	$772.54	$772.54
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