Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,048.15 / $6,363.00 / $16,635.00	Facility		$1,048.15	$6,363.00	$16,635.00
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 $502.98 / $634.29 / $1,554.40	Professional		$502.98	$634.29	$1,554.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,151.05 / $1,445.82 / $2,697.20	Professional		$1,151.05	$1,445.82	$2,697.20
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 / $18,053.28 / $22,267.04	Facility		$55.00	$18,053.28	$22,267.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $235.92 / $552.54 / $582.35	Facility	AS	$235.92	$552.54	$582.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.78 / $1,319.33 / $1,878.23	Facility		$801.78	$1,319.33	$1,878.23
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