Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.40 / $9,665.00 / $20,509.00	Facility		$1,152.40	$9,665.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
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 $835.07 / $1,163.74 / $1,396.49	Professional		$835.07	$1,163.74	$1,396.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.36 / $1,340.77 / $2,429.35	Professional		$1,047.36	$1,340.77	$2,429.35
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 / $7,808.16 / $9,772.00	Facility		$55.00	$7,808.16	$9,772.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.83 / $1,411.77 / $1,897.50	Facility		$1,109.83	$1,411.77	$1,897.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $397.39 / $397.39 / $397.39	Facility	80	$397.39	$397.39	$397.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00