Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,008.00 / $20,509.00	Facility		$2,421.00	$9,008.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $856.56 / $1,027.86	Professional		$608.04	$856.56	$1,027.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.82 / $985.04 / $1,742.93	Professional		$766.82	$985.04	$1,742.93
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 / $4,939.27 / $6,240.78	Facility		$55.00	$4,939.27	$6,240.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.15 / $347.57 / $376.31	Facility	AS	$148.15	$347.57	$376.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $777.66 / $983.30 / $1,382.46	Facility		$777.66	$983.30	$1,382.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $289.98 / $289.98 / $289.98	Facility	80	$289.98	$289.98	$289.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $246.48 / $246.48 / $246.48	Facility	AS	$246.48	$246.48	$246.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,451.00	Facility		$5,284.00	$12,267.00	$26,451.00