Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.21 / $9,639.00 / $20,509.00	Facility		$185.21	$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 $185.52 / $204.07 / $241.18	Professional		$185.52	$204.07	$241.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.49 / $220.15 / $391.45	Professional		$170.49	$220.15	$391.45
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 / $398.89 / $845.17	Facility		$55.00	$398.89	$845.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $222.62 / $311.55	Facility		$177.93	$222.62	$311.55
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $68.34 / $68.34 / $68.34	Facility	80	$68.34	$68.34	$68.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,395.00 / $18,709.00	Facility		$1,919.00	$6,395.00	$18,709.00