Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.59 / $9,639.00 / $20,509.00	Facility		$1,512.59	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $12,600.00 / $25,864.00	Facility		$5,486.00	$12,600.00	$25,864.00
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 $715.56 / $1,082.85 / $2,075.38	Professional		$715.56	$1,082.85	$2,075.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,573.37 / $2,057.78 / $3,663.83	Professional		$1,573.37	$2,057.78	$3,663.83
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 / $24,402.56 / $30,187.84	Facility		$55.00	$24,402.56	$30,187.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $319.04 / $746.31 / $781.96	Facility	AS	$319.04	$746.31	$781.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,547.35 / $1,975.46 / $2,862.95	Facility		$1,547.35	$1,975.46	$2,862.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $627.37 / $627.37 / $627.37	Facility	80	$627.37	$627.37	$627.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $533.26 / $533.26 / $533.26	Facility	AS	$533.26	$533.26	$533.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $18,315.00 / $45,545.00	Facility		$8,822.00	$18,315.00	$45,545.00