Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,681.00	Facility		$1,992.00	$7,494.00	$18,681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,706.00 / $13,707.00	Facility		$2,629.00	$6,706.00	$13,707.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $532.02 / $670.92 / $1,007.69	Professional		$532.02	$670.92	$1,007.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $755.77 / $959.14 / $1,774.89	Professional		$755.77	$959.14	$1,774.89
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 / $6,798.78 / $8,406.62	Facility		$55.00	$6,798.78	$8,406.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $163.51 / $369.22 / $383.22	Facility	AS	$163.51	$369.22	$383.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.87 / $1,105.15 / $1,569.78	Facility		$814.87	$1,105.15	$1,569.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00