Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.55 / $10,061.00 / $20,509.00	Facility		$1,921.55	$10,061.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.00 / $11,780.00 / $23,151.00	Facility		$5,343.00	$11,780.00	$23,151.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.37 / $2,222.09 / $2,666.51	Professional		$1,540.37	$2,222.09	$2,666.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,999.88 / $2,557.25 / $4,550.53	Professional		$1,999.88	$2,557.25	$4,550.53
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 / $16,691.22 / $21,068.46	Facility		$55.00	$16,691.22	$21,068.46
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $390.01 / $913.13 / $982.36	Facility	AS	$390.01	$913.13	$982.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,026.25 / $2,557.46 / $3,606.57	Facility		$2,026.25	$2,557.46	$3,606.57
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $761.50 / $761.50 / $761.50	Facility	80	$761.50	$761.50	$761.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $647.28 / $647.28 / $647.28	Facility	AS	$647.28	$647.28	$647.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00