Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,532.00 / $17,538.00	Facility		$1,335.00	$5,532.00	$17,538.00
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 $315.70 / $370.05 / $473.57	Professional		$315.70	$370.05	$473.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.05 / $427.82 / $797.62	Professional		$333.05	$427.82	$797.62
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 / $818.26 / $1,702.21	Facility		$55.00	$818.26	$1,702.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $70.93 / $165.31 / $170.22	Facility	AS	$70.93	$165.31	$170.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.34 / $439.47 / $595.98	Facility		$348.34	$439.47	$595.98
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