Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.71 / $9,639.00 / $20,509.00	Facility		$1,239.71	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $19,252.00	Facility		$3,028.00	$9,557.00	$19,252.00
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 $581.90 / $880.60 / $1,622.66	Professional		$581.90	$880.60	$1,622.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $1,556.57 / $2,807.33	Professional		$1,217.00	$1,556.57	$2,807.33
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 / $9,120.87 / $11,303.20	Facility		$55.00	$9,120.87	$11,303.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,180.71 / $1,513.33 / $2,080.83	Facility		$1,180.71	$1,513.33	$2,080.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $464.46 / $464.46 / $464.46	Facility	80	$464.46	$464.46	$464.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00