Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
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 $672.37 / $797.28 / $1,008.56	Professional		$672.37	$797.28	$1,008.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.55 / $916.13 / $1,691.78	Professional		$717.55	$916.13	$1,691.78
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 / $7,955.75 / $9,827.51	Facility		$55.00	$7,955.75	$9,827.51
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.46 / $353.33 / $365.27	Facility	AS	$151.46	$353.33	$365.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $942.21 / $1,284.22	Facility		$748.00	$942.21	$1,284.22
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