Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.84 / $9,639.00 / $20,509.00	Facility		$961.84	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.88 / $8,981.00 / $19,204.00	Facility		$4,043.88	$8,981.00	$19,204.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.53	Facility		$63.90	$100.00	$5,487.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $934.80 / $1,126.80	Professional		$744.60	$934.80	$1,126.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.12 / $1,075.03 / $1,908.46	Professional		$839.12	$1,075.03	$1,908.46
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 / $6,173.84 / $7,819.36	Facility		$55.00	$6,173.84	$7,819.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $163.13 / $381.03 / $412.05	Facility	AS	$163.13	$381.03	$412.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.81 / $1,164.61 / $1,805.50	Facility		$892.81	$1,164.61	$1,805.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $327.75 / $327.75 / $327.75	Facility	80	$327.75	$327.75	$327.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $278.58 / $278.58 / $278.58	Facility	AS	$278.58	$278.58	$278.58
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