Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.71 / $9,639.00 / $20,509.00	Facility		$1,479.71	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,163.93 / $20,418.00	Facility		$4,314.00	$10,163.93	$20,418.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,469.67 / $1,763.60	Professional		$1,011.91	$1,469.67	$1,763.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,322.70 / $1,691.52 / $3,064.50	Professional		$1,322.70	$1,691.52	$3,064.50
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 / $9,757.28 / $12,342.56	Facility		$55.00	$9,757.28	$12,342.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,409.60 / $1,790.50 / $2,355.42	Facility		$1,409.60	$1,790.50	$2,355.42
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $497.86 / $497.86 / $497.86	Facility	80	$497.86	$497.86	$497.86
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