Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $8,548.20 / $20,786.00	Facility		$3,537.00	$8,548.20	$20,786.00
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 $268.06 / $312.70 / $402.09	Professional		$268.06	$312.70	$402.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $366.70 / $672.43	Professional		$281.44	$366.70	$672.43
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 / $709.72 / $1,451.84	Facility		$55.00	$709.72	$1,451.84
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $382.25 / $889.38 / $907.40	Facility	62	$382.25	$889.38	$907.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $61.16 / $142.30 / $145.18	Facility	AS	$61.16	$142.30	$145.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.63 / $375.25 / $503.47	Facility		$296.63	$375.25	$503.47
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