Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.43 / $9,639.00 / $20,509.00	Facility		$1,200.43	$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 $914.74 / $1,153.56 / $1,517.14	Professional		$914.74	$1,153.56	$1,517.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.33 / $1,349.35 / $2,514.19	Professional		$1,050.33	$1,349.35	$2,514.19
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 / $11,747.89 / $14,512.08	Facility		$55.00	$11,747.89	$14,512.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.60 / $521.36 / $536.77	Facility	AS	$223.60	$521.36	$536.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.99 / $1,543.81 / $2,250.00	Facility		$1,137.99	$1,543.81	$2,250.00
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