Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.67 / $9,639.00 / $20,509.00	Facility		$438.67	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,343.00 / $13,012.00	Facility		$2,143.00	$5,343.00	$13,012.00
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 $143.34 / $146.41 / $197.65	Professional		$143.34	$146.41	$197.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.77 / $172.57 / $319.33	Professional		$131.77	$172.57	$319.33
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 / $355.40 / $1,300.00	Facility		$55.00	$355.40	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $28.83 / $67.06 / $68.19	Facility	AS	$28.83	$67.06	$68.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $203.42 / $356.81	Facility		$147.40	$203.42	$356.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,159.00 / $20,279.00	Facility		$1,836.00	$5,159.00	$20,279.00