Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.30 / $9,639.00 / $20,509.00	Facility		$1,061.30	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
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 $1,017.18 / $1,191.35 / $1,502.40	Professional		$1,017.18	$1,191.35	$1,502.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.46 / $1,180.08 / $2,171.58	Professional		$915.46	$1,180.08	$2,171.58
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 / $14,964.32 / $18,445.75	Facility		$55.00	$14,964.32	$18,445.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.82 / $456.42 / $468.86	Facility	AS	$195.82	$456.42	$468.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.10 / $1,376.75 / $2,115.00	Facility		$1,000.10	$1,376.75	$2,115.00
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