Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.01 / $9,639.00 / $20,509.00	Facility		$193.01	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.40 / $214.94 / $254.02	Professional		$195.40	$214.94	$254.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $231.69 / $412.08	Professional		$179.44	$231.69	$412.08
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 / $419.40 / $889.72	Facility		$55.00	$419.40	$889.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.31 / $234.48 / $328.96	Facility		$187.31	$234.48	$328.96
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $72.20 / $72.20 / $72.20	Facility	80	$72.20	$72.20	$72.20
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