Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.09 / $9,639.00 / $20,509.00	Facility		$253.09	$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 $210.35 / $275.19 / $330.23	Professional		$210.35	$275.19	$330.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $329.21 / $587.55	Professional		$252.19	$329.21	$587.55
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 / $645.16 / $2,922.50	Facility		$55.00	$645.16	$2,922.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $51.39 / $120.05 / $125.10	Facility	AS	$51.39	$120.05	$125.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.37 / $341.31 / $526.44	Facility		$263.37	$341.31	$526.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $101.37 / $101.37 / $101.37	Facility	80	$101.37	$101.37	$101.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.17 / $86.17 / $86.17	Facility	AS	$86.17	$86.17	$86.17
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