Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,321.00 / $22,788.00	Facility		$2,421.00	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,557.25 / $14,312.00 / $32,828.00	Facility		$2,557.25	$14,312.00	$32,828.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.57 / $2,962.60 / $3,851.38	Professional		$1,489.57	$2,962.60	$3,851.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,470.14 / $3,259.58 / $6,813.98	Professional		$2,470.14	$3,259.58	$6,813.98
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $294.87 / $294.87 / $500.00	Professional	80	$294.87	$294.87	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $47,892.16 / $48,780.16	Facility		$55.00	$47,892.16	$48,780.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,294.31 / $3,199.28 / $4,774.80	Facility		$2,294.31	$3,199.28	$4,774.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $996.11 / $996.11 / $996.11	Facility	80	$996.11	$996.11	$996.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00