Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.48 / $9,639.00 / $20,509.00	Facility		$1,258.48	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.02 / $8,886.00 / $18,332.29	Facility		$3,958.02	$8,886.00	$18,332.29
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 $674.61 / $1,020.88 / $1,596.46	Professional		$674.61	$1,020.88	$1,596.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.33 / $1,532.83 / $2,733.02	Professional		$1,197.33	$1,532.83	$2,733.02
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 / $8,957.60 / $11,216.96	Facility		$55.00	$8,957.60	$11,216.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $235.22 / $550.73 / $590.08	Facility	AS	$235.22	$550.73	$590.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,233.20 / $1,582.06 / $2,128.61	Facility		$1,233.20	$1,582.06	$2,128.61
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $455.59 / $455.59 / $455.59	Facility	80	$455.59	$455.59	$455.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $387.25 / $387.25 / $387.25	Facility	AS	$387.25	$387.25	$387.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00