Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.03 / $9,639.00 / $20,509.00	Facility		$148.03	$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 $128.07 / $155.88 / $192.11	Professional		$128.07	$155.88	$192.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.87 / $188.49 / $339.82	Professional		$144.87	$188.49	$339.82
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 / $343.48 / $716.25	Facility		$55.00	$343.48	$716.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $29.81 / $69.48 / $71.63	Facility	AS	$29.81	$69.48	$71.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $182.06 / $249.41	Facility		$146.59	$182.06	$249.41
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $59.23 / $59.23 / $59.23	Facility	80	$59.23	$59.23	$59.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.34 / $50.34 / $50.34	Facility	AS	$50.34	$50.34	$50.34
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