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 $1,154.86 / $1,357.27 / $1,732.31	Professional		$1,154.86	$1,357.27	$1,732.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.54 / $1,572.76 / $2,898.40	Professional		$1,221.54	$1,572.76	$2,898.40
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 / $13,703.36 / $16,904.80	Facility		$55.00	$13,703.36	$16,904.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $260.92 / $608.10 / $625.21	Facility	AS	$260.92	$608.10	$625.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,278.97 / $1,614.04 / $2,185.76	Facility		$1,278.97	$1,614.04	$2,185.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00