Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.56 / $9,639.00 / $20,509.00	Facility		$1,456.56	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,893.00 / $10,480.00 / $21,583.00	Facility		$4,893.00	$10,480.00	$21,583.00
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 $1,116.90 / $1,448.34 / $1,738.01	Professional		$1,116.90	$1,448.34	$1,738.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.51 / $1,667.77 / $2,967.21	Professional		$1,303.51	$1,667.77	$2,967.21
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 / $9,644.48 / $12,185.20	Facility		$55.00	$9,644.48	$12,185.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,389.81 / $1,772.66 / $2,747.50	Facility		$1,389.81	$1,772.66	$2,747.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $492.34 / $492.34 / $492.34	Facility	80	$492.34	$492.34	$492.34
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