Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.36 / $9,639.00 / $20,509.00	Facility		$1,130.36	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,557.00 / $19,252.00	Facility		$3,403.00	$9,557.00	$19,252.00
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 $1,042.44 / $1,085.13 / $1,464.93	Professional		$1,042.44	$1,085.13	$1,464.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.62 / $1,255.18 / $2,338.27	Professional		$976.62	$1,255.18	$2,338.27
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 / $8,942.58 / $11,028.06	Facility		$55.00	$8,942.58	$11,028.06
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $208.03 / $485.03 / $499.23	Facility	AS	$208.03	$485.03	$499.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,065.72 / $1,468.54 / $2,041.40	Facility		$1,065.72	$1,468.54	$2,041.40
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