Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.50 / $9,639.00 / $20,509.00	Facility		$1,211.50	$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 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.50 / $1,394.35 / $1,673.22	Professional		$1,103.50	$1,394.35	$1,673.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,269.39 / $1,660.05 / $2,968.13	Professional		$1,269.39	$1,660.05	$2,968.13
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 / $19,703.68 / $24,358.88	Facility		$55.00	$19,703.68	$24,358.88
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $257.56 / $602.50 / $630.82	Facility	AS	$257.56	$602.50	$630.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,290.03 / $1,605.00 / $2,230.96	Facility		$1,290.03	$1,605.00	$2,230.96
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $506.60 / $506.60 / $506.60	Facility	80	$506.60	$506.60	$506.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $430.61 / $430.61 / $430.61	Facility	AS	$430.61	$430.61	$430.61
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