Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.58 / $9,639.00 / $20,509.00	Facility		$1,109.58	$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 $805.28 / $1,015.53 / $1,382.69	Professional		$805.28	$1,015.53	$1,382.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.25 / $1,230.16 / $2,268.53	Professional		$957.25	$1,230.16	$2,268.53
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 / $8,763.93 / $10,869.93	Facility		$55.00	$8,763.93	$10,869.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $203.86 / $475.34 / $489.29	Facility	AS	$203.86	$475.34	$489.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,045.13 / $1,456.32 / $2,329.96	Facility		$1,045.13	$1,456.32	$2,329.96
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