Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.49 / $10,061.00 / $21,960.90	Facility		$1,954.49	$10,061.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.51 / $6,892.00 / $17,783.00	Facility		$1,218.51	$6,892.00	$17,783.00
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 $609.46 / $768.57 / $2,474.56	Professional		$609.46	$768.57	$2,474.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,855.92 / $2,343.06 / $4,359.13	Professional		$1,855.92	$2,343.06	$4,359.13
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 / $29,461.60 / $36,371.68	Facility		$55.00	$29,461.60	$36,371.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $385.61 / $900.57 / $937.99	Facility	AS	$385.61	$900.57	$937.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $2,324.92 / $3,263.05	Facility		$1,125.00	$2,324.92	$3,263.05
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