Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.94 / $9,639.00 / $20,509.00	Facility		$1,374.94	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
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 $1,069.99 / $1,543.19 / $1,851.83	Professional		$1,069.99	$1,543.19	$1,851.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.45 / $1,807.86 / $3,549.34	Professional		$1,402.45	$1,807.86	$3,549.34
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,737.28 / $26,887.04	Facility		$55.00	$21,737.28	$26,887.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $284.18 / $664.87 / $697.18	Facility	AS	$284.18	$664.87	$697.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,467.75 / $1,908.08 / $2,574.48	Facility		$1,467.75	$1,908.08	$2,574.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $559.53 / $559.53 / $559.53	Facility	80	$559.53	$559.53	$559.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $475.60 / $475.60 / $475.60	Facility	AS	$475.60	$475.60	$475.60
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