Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.79 / $9,639.00 / $20,509.00	Facility		$593.79	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,030.00 / $17,774.00	Facility		$3,294.00	$9,030.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $460.91 / $621.88 / $746.26	Professional		$460.91	$621.88	$746.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.84 / $689.20 / $1,304.51	Professional		$549.84	$689.20	$1,304.51
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 / $1,279.72 / $2,783.31	Facility		$55.00	$1,279.72	$2,783.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $112.13 / $262.80 / $278.33	Facility	AS	$112.13	$262.80	$278.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.22 / $746.26 / $1,002.56	Facility		$571.22	$746.26	$1,002.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00