Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.89 / $9,639.00 / $20,509.00	Facility		$1,037.89	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,557.00 / $19,252.00	Facility		$3,403.00	$9,557.00	$19,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $657.30 / $1,219.02	Professional		$521.22	$657.30	$1,219.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.27 / $1,173.70 / $2,165.58	Professional		$914.27	$1,173.70	$2,165.58
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 / $6,500.83 / $13,856.55	Facility		$55.00	$6,500.83	$13,856.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.68 / $1,314.53 / $1,314.53	Facility	AS	$223.68	$1,314.53	$1,314.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $928.40 / $1,187.01 / $1,743.08	Facility		$928.40	$1,187.01	$1,743.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00