Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.23 / $9,639.00 / $20,509.00	Facility		$1,290.23	$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 $746.09 / $1,129.06 / $1,739.46	Professional		$746.09	$1,129.06	$1,739.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,321.02 / $1,727.10 / $3,089.26	Professional		$1,321.02	$1,727.10	$3,089.26
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 / $20,517.43 / $25,365.12	Facility		$55.00	$20,517.43	$25,365.12
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,676.41 / $3,920.79 / $4,101.85	Facility	62	$1,676.41	$3,920.79	$4,101.85
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $268.23 / $627.33 / $656.30	Facility	AS	$268.23	$627.33	$656.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,363.19 / $1,765.18 / $2,552.16	Facility		$1,363.19	$1,765.18	$2,552.16
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,062.21 / $2,062.21 / $2,062.21	Facility	62	$2,062.21	$2,062.21	$2,062.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $527.91 / $527.91 / $527.91	Facility	80	$527.91	$527.91	$527.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $448.74 / $448.74 / $448.74	Facility	AS	$448.74	$448.74	$448.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,395.00 / $18,709.00	Facility		$1,919.00	$6,395.00	$18,709.00