Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,715.19 / $26,302.68	Facility		$3,715.35	$10,715.19	$26,302.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $12,302.69	Facility		$66.07	$4,073.80	$12,302.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $933.25	Professional		$501.19	$549.54	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,096.48	Professional		$467.74	$602.56	$1,096.48
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 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,174.90	Facility		$602.56	$794.33	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96