Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,384.00 / $19,368.00	Facility		$2,616.00	$9,384.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $8,530.00 / $17,774.00	Facility		$3,738.00	$8,530.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,620.13	Facility		$64.20	$100.00	$5,620.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $763.96 / $1,093.28 / $1,311.94	Professional		$763.96	$1,093.28	$1,311.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.95 / $1,262.24 / $2,259.88	Professional		$983.95	$1,262.24	$2,259.88
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 / $7,488.16 / $9,315.92	Facility		$55.00	$7,488.16	$9,315.92
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.91 / $459.14 / $487.93	Facility	AS	$195.91	$459.14	$487.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $965.46 / $1,253.50 / $1,776.00	Facility		$965.46	$1,253.50	$1,776.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $382.87 / $382.87 / $382.87	Facility	80	$382.87	$382.87	$382.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $325.44 / $325.44 / $325.44	Facility	AS	$325.44	$325.44	$325.44
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