Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $8,823.00 / $16,846.00	Facility		$2,456.00	$8,823.00	$16,846.00
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 $107.59 / $119.57 / $155.44	Professional		$107.59	$119.57	$155.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $140.35 / $259.12	Professional		$107.61	$140.35	$259.12
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 / $271.99 / $555.55	Facility		$55.00	$271.99	$555.55
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $146.41 / $340.62 / $347.22	Facility	62	$146.41	$340.62	$347.22
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.43 / $54.50 / $55.56	Facility	AS	$23.43	$54.50	$55.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $143.47 / $192.50	Facility		$116.00	$143.47	$192.50
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00