Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.11 / $9,697.00 / $21,960.90	Facility		$1,442.11	$9,697.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $11,117.03	Facility		$65.80	$100.00	$11,117.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $267.31 / $320.77	Professional		$168.73	$267.31	$320.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.79 / $315.56 / $559.34	Professional		$241.79	$315.56	$559.34
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 $628.97 / $11,500.00 / $26,542.00	Facility		$628.97	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $48.54 / $113.08 / $119.91	Facility	AS	$48.54	$113.08	$119.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.45 / $326.02 / $470.63	Facility		$252.45	$326.02	$470.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $94.95 / $94.95 / $94.95	Facility	80	$94.95	$94.95	$94.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.70 / $80.70 / $80.70	Facility	AS	$80.70	$80.70	$80.70
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,495.00 / $6,323.00	Facility		$548.00	$1,495.00	$6,323.00