Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $2,187.76	Facility		$60.26	$100.00	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $316.23	Professional		$213.80	$234.42	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $630.96	Professional		$204.17	$269.15	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $5,011.87	Facility		$3,981.07	$5,011.87	$5,011.87
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	62	$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	AS	$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $478.63	Facility		$229.09	$288.40	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,137.96 / $27,542.29	Facility		$588.84	$2,137.96	$27,542.29