Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.84 / $9,674.00 / $22,788.00	Facility		$1,089.84	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,932.00 / $18,903.00	Facility		$4,043.00	$8,932.00	$18,903.00
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 $839.16 / $1,249.82 / $1,499.78	Professional		$839.16	$1,249.82	$1,499.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.83 / $1,451.38 / $2,631.28	Professional		$1,124.83	$1,451.38	$2,631.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,897.90 / $13,271.20	Facility		$55.00	$10,897.90	$13,271.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $225.43 / $531.50 / $559.96	Facility	AS	$225.43	$531.50	$559.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,161.09 / $1,455.83 / $2,178.28	Facility		$1,161.09	$1,455.83	$2,178.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $370.65 / $370.65 / $370.65	Facility	AS	$370.65	$370.65	$370.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00