Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.28 / $10,061.00 / $20,509.00	Facility		$2,145.28	$10,061.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.00 / $11,780.00 / $23,151.00	Facility		$5,343.00	$11,780.00	$23,151.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.12 / $2,110.75 / $2,532.90	Professional		$1,638.12	$2,110.75	$2,532.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,899.68 / $2,433.26 / $4,420.58	Professional		$1,899.68	$2,433.26	$4,420.58
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 / $15,899.04 / $20,086.47	Facility		$55.00	$15,899.04	$20,086.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,027.72 / $2,604.34 / $4,082.00	Facility		$2,027.72	$2,604.34	$4,082.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $723.73 / $723.73 / $723.73	Facility	80	$723.73	$723.73	$723.73
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