Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.18 / $816.08 / $4,982.54	Facility		$791.18	$816.08	$4,982.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,896.00 / $8,616.00 / $17,973.06	Facility		$3,896.00	$8,616.00	$17,973.06
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 $544.72 / $926.58 / $1,111.90	Professional		$544.72	$926.58	$1,111.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.13 / $1,112.38 / $1,967.13	Professional		$856.13	$1,112.38	$1,967.13
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 / $6,762.00 / $8,305.36	Facility		$55.00	$6,762.00	$8,305.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $894.15 / $1,216.21 / $2,470.00	Facility		$894.15	$1,216.21	$2,470.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $344.71 / $344.71 / $344.71	Facility	80	$344.71	$344.71	$344.71
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