Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.31 / $9,639.00 / $20,509.00	Facility		$794.31	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $155.41 / $191.00	Professional		$127.33	$155.41	$191.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $188.00 / $338.98	Professional		$144.51	$188.00	$338.98
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 / $342.85 / $714.40	Facility		$55.00	$342.85	$714.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $29.74 / $69.33 / $71.44	Facility	AS	$29.74	$69.33	$71.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.21 / $181.58 / $248.67	Facility		$146.21	$181.58	$248.67
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $59.10 / $59.10 / $59.10	Facility	80	$59.10	$59.10	$59.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.24 / $50.24 / $50.24	Facility	AS	$50.24	$50.24	$50.24
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