Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.58 / $9,639.00 / $20,509.00	Facility		$252.58	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,014.00 / $25,103.02	Facility		$4,734.00	$12,014.00	$25,103.02
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 $188.76 / $226.51 / $283.14	Professional		$188.76	$226.51	$283.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $257.13 / $460.09	Professional		$198.67	$257.13	$460.09
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 / $509.01 / $1,300.00	Facility		$55.00	$509.01	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $28.98 / $102.75 / $102.75	Facility	AS	$28.98	$102.75	$102.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.23 / $299.89 / $451.22	Facility		$224.23	$299.89	$451.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $80.94 / $80.94 / $80.94	Facility	80	$80.94	$80.94	$80.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $68.80 / $68.80 / $68.80	Facility	AS	$68.80	$68.80	$68.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00