Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,433.25 / $10,061.00 / $20,509.00	Facility		$2,433.25	$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 $1,861.50 / $2,385.59 / $2,862.71	Professional		$1,861.50	$2,385.59	$2,862.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,147.03 / $2,750.59 / $4,998.89	Professional		$2,147.03	$2,750.59	$4,998.89
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 / $17,983.89 / $22,741.74	Facility		$55.00	$17,983.89	$22,741.74
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,642.24 / $6,161.22 / $6,616.10	Facility	62	$2,642.24	$6,161.22	$6,616.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $422.76 / $985.80 / $1,058.58	Facility	AS	$422.76	$985.80	$1,058.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,292.16 / $2,953.77 / $4,667.17	Facility		$2,292.16	$2,953.77	$4,667.17
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,196.94 / $3,196.94 / $3,196.94	Facility	62	$3,196.94	$3,196.94	$3,196.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $818.42 / $818.42 / $818.42	Facility	80	$818.42	$818.42	$818.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $695.65 / $695.65 / $695.65	Facility	AS	$695.65	$695.65	$695.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,400.00 / $20,279.00	Facility		$2,047.00	$5,400.00	$20,279.00