Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,697.00 / $20,509.00	Facility		$873.00	$9,697.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $16,460.00	Facility		$2,629.00	$7,362.00	$16,460.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $721.15 / $924.81 / $1,109.77	Professional		$721.15	$924.81	$1,109.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.52 / $1,091.66 / $1,956.61	Professional		$832.52	$1,091.66	$1,956.61
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 / $12,826.56 / $15,883.84	Facility		$55.00	$12,826.56	$15,883.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.58 / $392.69 / $414.83	Facility	AS	$167.58	$392.69	$414.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.85 / $1,056.05 / $1,479.70	Facility		$847.85	$1,056.05	$1,479.70
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $328.91 / $328.91 / $328.91	Facility	80	$328.91	$328.91	$328.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $279.57 / $279.57 / $279.57	Facility	AS	$279.57	$279.57	$279.57
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