Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.15 / $9,639.00 / $20,509.00	Facility		$1,364.15	$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 $1,191.35 / $1,308.90 / $1,767.02	Professional		$1,191.35	$1,308.90	$1,767.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.01 / $1,518.01 / $2,825.11	Professional		$1,178.01	$1,518.01	$2,825.11
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 / $10,826.46 / $13,344.03	Facility		$55.00	$10,826.46	$13,344.03
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $251.86 / $587.05 / $603.20	Facility	AS	$251.86	$587.05	$603.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,287.32 / $1,775.35 / $2,475.73	Facility		$1,287.32	$1,775.35	$2,475.73
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