Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.81 / $9,639.00 / $20,509.00	Facility		$858.81	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,517.00 / $9,644.00 / $19,252.00	Facility		$3,517.00	$9,644.00	$19,252.00
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 $679.08 / $901.00 / $1,081.20	Professional		$679.08	$901.00	$1,081.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.74 / $999.95 / $1,892.16	Professional		$797.74	$999.95	$1,892.16
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 / $1,893.46 / $4,036.46	Facility		$55.00	$1,893.46	$4,036.46
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $162.83 / $381.48 / $403.65	Facility	AS	$162.83	$381.48	$403.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.19 / $1,081.20 / $1,452.51	Facility		$828.19	$1,081.20	$1,452.51
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