Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.57 / $9,639.00 / $20,509.00	Facility		$1,710.57	$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 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $1,646.26 / $2,150.60	Professional		$1,433.73	$1,646.26	$2,150.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.63 / $1,912.73 / $3,517.95	Professional		$1,481.63	$1,912.73	$3,517.95
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 / $13,651.29 / $16,823.07	Facility		$55.00	$13,651.29	$16,823.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $317.58 / $740.11 / $759.56	Facility	AS	$317.58	$740.11	$759.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.89 / $2,190.73 / $2,825.02	Facility		$1,621.89	$2,190.73	$2,825.02
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