Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $12,882.50	Facility		$2,570.40	$4,677.35	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $181.97	Professional		$134.90	$144.54	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $302.00	Professional		$117.49	$154.88	$302.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	AS	$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $363.08	Facility		$151.36	$204.17	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87