Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.86 / $9,639.00 / $20,509.00	Facility		$1,471.86	$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 $1,121.74 / $1,414.60 / $1,854.28	Professional		$1,121.74	$1,414.60	$1,854.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,283.73 / $1,653.34 / $3,077.63	Professional		$1,283.73	$1,653.34	$3,077.63
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 / $11,788.92 / $14,531.94	Facility		$55.00	$11,788.92	$14,531.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $274.25 / $639.28 / $657.10	Facility	AS	$274.25	$639.28	$657.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,389.20 / $1,856.44 / $2,433.50	Facility		$1,389.20	$1,856.44	$2,433.50
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