Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.17 / $9,639.00 / $20,509.00	Facility		$844.17	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.86 / $6,363.00 / $16,635.00	Facility		$1,151.86	$6,363.00	$16,635.00
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 $814.16 / $1,042.44 / $1,314.60	Professional		$814.16	$1,042.44	$1,314.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.74 / $937.27 / $1,729.42	Professional		$732.74	$937.27	$1,729.42
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 / $6,665.31 / $8,231.12	Facility		$55.00	$6,665.31	$8,231.12
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.01 / $361.65 / $373.40	Facility	AS	$155.01	$361.65	$373.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.03 / $1,093.22 / $1,697.62	Facility		$792.03	$1,093.22	$1,697.62
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