Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.62 / $9,639.00 / $20,509.00	Facility		$1,465.62	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
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 $1,096.42 / $1,315.70 / $1,659.22	Professional		$1,096.42	$1,315.70	$1,659.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.84 / $1,493.28 / $2,686.35	Professional		$1,167.84	$1,493.28	$2,686.35
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 / $8,602.00 / $10,881.12	Facility		$55.00	$8,602.00	$10,881.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,297.69 / $1,652.47 / $2,475.00	Facility		$1,297.69	$1,652.47	$2,475.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $438.63 / $438.63 / $438.63	Facility	80	$438.63	$438.63	$438.63
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