Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $263.03	Professional		$199.53	$199.53	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $426.58	Professional		$173.78	$229.09	$426.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $426.58	Facility		$213.80	$269.15	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87