Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $1,862.09	Facility		$61.66	$100.00	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $181.97	Professional		$125.89	$144.54	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $323.59	Professional		$131.83	$169.82	$323.59
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $954.99	Facility		$54.95	$56.23	$954.99
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	AS	$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $302.00	Facility		$141.25	$181.97	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87