Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.05 / $9,665.00 / $21,960.90	Facility		$1,039.05	$9,665.00	$21,960.90
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 $760.24 / $957.47 / $1,150.46	Professional		$760.24	$957.47	$1,150.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.22 / $1,101.31 / $1,980.27	Professional		$860.22	$1,101.31	$1,980.27
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 / $6,331.60 / $8,014.72	Facility		$55.00	$6,331.60	$8,014.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.24 / $1,207.84 / $1,828.86	Facility		$946.24	$1,207.84	$1,828.86
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $355.12 / $355.12 / $355.12	Facility	80	$355.12	$355.12	$355.12
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