Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,406.00 / $22,330.11	Facility		$3,546.09	$10,406.00	$22,330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $13,419.17 / $28,633.72	Facility		$5,540.00	$13,419.17	$28,633.72
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 $676.57 / $1,428.79 / $1,714.55	Professional		$676.57	$1,428.79	$1,714.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,285.91 / $1,646.76 / $2,970.40	Professional		$1,285.91	$1,646.76	$2,970.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,644.20 / $18,129.36	Facility		$55.00	$14,644.20	$18,129.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $253.85 / $597.35 / $635.59	Facility	AS	$253.85	$597.35	$635.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,332.15 / $1,702.40 / $2,561.67	Facility		$1,332.15	$1,702.40	$2,561.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $422.74 / $422.74 / $422.74	Facility	AS	$422.74	$422.74	$422.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,171.00 / $30,330.00	Facility		$7,696.00	$13,171.00	$30,330.00