Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.04 / $9,697.00 / $22,788.00	Facility		$596.04	$9,697.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $496.28 / $586.49 / $762.44	Professional		$496.28	$586.49	$762.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.36 / $656.87 / $1,223.82	Professional		$522.36	$656.87	$1,223.82
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 / $4,620.33 / $7,984.00	Facility		$55.00	$4,620.33	$7,984.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $121.77 / $757.42 / $757.42	Facility	AS	$121.77	$757.42	$757.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.26 / $769.51 / $1,071.59	Facility		$566.26	$769.51	$1,071.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00