Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $20,135.00	Facility		$2,616.00	$9,006.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.73 / $9,729.07 / $20,083.16	Facility		$4,019.73	$9,729.07	$20,083.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $8,138.75	Facility		$64.20	$100.00	$8,138.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $715.97 / $1,072.31 / $1,286.77	Professional		$715.97	$1,072.31	$1,286.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.08 / $1,233.78 / $2,193.71	Professional		$965.08	$1,233.78	$2,193.71
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 / $6,245.19 / $7,905.80	Facility		$55.00	$6,245.19	$7,905.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $978.74 / $1,233.79 / $1,730.78	Facility		$978.74	$1,233.79	$1,730.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $369.12 / $369.12 / $369.12	Facility	80	$369.12	$369.12	$369.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,206.00 / $16,148.00	Facility		$3,867.00	$7,206.00	$16,148.00