Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $20,509.00	Facility		$873.00	$9,665.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $6,675.00 / $15,877.00	Facility		$2,399.48	$6,675.00	$15,877.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $318.69 / $401.89	Professional		$199.50	$318.69	$401.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $234.22 / $434.17	Professional		$179.55	$234.22	$434.17
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 / $482.59 / $1,401.63	Facility		$55.00	$482.59	$1,401.63
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $172.63 / $876.02 / $876.02	Facility	62	$172.63	$876.02	$876.02
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $27.62 / $140.16 / $140.16	Facility	AS	$27.62	$140.16	$140.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.83 / $344.22 / $633.58	Facility		$214.83	$344.22	$633.58
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