Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,665.00 / $20,135.00	Facility		$3,089.46	$9,665.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.00 / $13,255.00 / $35,774.62	Facility		$4,662.00	$13,255.00	$35,774.62
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 $1,030.15 / $1,229.80 / $1,545.23	Professional		$1,030.15	$1,229.80	$1,545.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.82 / $1,420.60 / $2,618.46	Professional		$1,106.82	$1,420.60	$2,618.46
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 / $12,362.35 / $15,224.66	Facility		$55.00	$12,362.35	$15,224.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.98 / $1,459.12 / $1,980.64	Facility		$1,156.98	$1,459.12	$1,980.64
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