Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.88 / $9,639.00 / $20,509.00	Facility		$1,624.88	$9,639.00	$20,509.00
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 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.40 / $1,725.96 / $2,071.15	Professional		$1,185.40	$1,725.96	$2,071.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,552.22 / $1,984.85 / $3,529.48	Professional		$1,552.22	$1,984.85	$3,529.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,342.16 / $21,771.12	Facility		$55.00	$17,342.16	$21,771.12
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,885.17 / $4,433.60 / $4,762.79	Facility	62	$1,885.17	$4,433.60	$4,762.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,592.55 / $2,069.17 / $3,036.94	Facility		$1,592.55	$2,069.17	$3,036.94
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,343.76 / $2,343.76 / $2,343.76	Facility	62	$2,343.76	$2,343.76	$2,343.76
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