Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.00 / $9,639.00 / $20,509.00	Facility		$1,332.00	$9,639.00	$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 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.82 / $1,518.98 / $1,915.56	Professional		$1,265.82	$1,518.98	$1,915.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,359.65 / $1,769.66 / $3,150.60	Professional		$1,359.65	$1,769.66	$3,150.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,011.60 / $19,717.20	Facility		$55.00	$16,011.60	$19,717.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $275.77 / $649.88 / $680.24	Facility	AS	$275.77	$649.88	$680.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,432.09 / $1,784.79 / $2,650.98	Facility		$1,432.09	$1,784.79	$2,650.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $456.05 / $456.05 / $456.05	Facility	AS	$456.05	$456.05	$456.05
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