Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.58 / $9,639.00 / $20,509.00	Facility		$255.58	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.04 / $3,547.00 / $9,381.00	Facility		$964.04	$3,547.00	$9,381.00
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 $184.94 / $238.27 / $300.48	Professional		$184.94	$238.27	$300.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $214.78 / $398.45	Professional		$166.45	$214.78	$398.45
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 / $441.30 / $1,315.64	Facility		$55.00	$441.30	$1,315.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $25.09 / $104.62 / $104.62	Facility	AS	$25.09	$104.62	$104.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $296.99 / $484.50	Facility		$195.78	$296.99	$484.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,426.00 / $18,709.00	Facility		$1,940.00	$6,426.00	$18,709.00