Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $23,988.33	Facility		$4,466.84	$10,232.93	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $12,589.25	Facility		$64.57	$100.00	$12,589.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $281.84	Professional		$169.82	$234.42	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $501.19	Professional		$208.93	$269.15	$501.19
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $33,884.42 / $33,884.42	Facility		$3,890.45	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	AS	$154.88	$154.88	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $524.81	Facility		$229.09	$316.23	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54