Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.55 / $9,639.00 / $20,509.00	Facility		$987.55	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,905.00 / $17,774.00	Facility		$3,242.00	$8,905.00	$17,774.00
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 $590.47 / $744.63 / $1,139.63	Professional		$590.47	$744.63	$1,139.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.72 / $1,093.38 / $2,017.42	Professional		$854.72	$1,093.38	$2,017.42
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 / $6,047.86 / $13,856.55	Facility		$55.00	$6,047.86	$13,856.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $207.63 / $1,314.53 / $1,314.53	Facility	AS	$207.63	$1,314.53	$1,314.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.34 / $1,242.77 / $1,731.74	Facility		$923.34	$1,242.77	$1,731.74
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