Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.21 / $9,639.00 / $20,509.00	Facility		$1,424.21	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
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 $1,059.94 / $1,336.67 / $1,794.90	Professional		$1,059.94	$1,336.67	$1,794.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,242.61 / $1,598.95 / $2,977.40	Professional		$1,242.61	$1,598.95	$2,977.40
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 / $11,397.15 / $14,046.30	Facility		$55.00	$11,397.15	$14,046.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.13 / $618.09 / $635.69	Facility	AS	$265.13	$618.09	$635.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,344.40 / $1,791.89 / $2,538.81	Facility		$1,344.40	$1,791.89	$2,538.81
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