Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $144.54	Professional		$107.15	$109.65	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $239.88	Professional		$95.50	$125.89	$239.88
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $741.31	Facility		$54.95	$56.23	$741.31
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	62	$467.74	$467.74	$467.74
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	AS	$74.13	$74.13	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $213.80	Facility		$109.65	$147.91	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54