Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $10,470.00 / $23,352.00	Facility		$3,530.35	$10,470.00	$23,352.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $932.98 / $1,411.88 / $1,745.23	Professional		$932.98	$1,411.88	$1,745.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,308.92 / $1,675.07 / $3,029.12	Professional		$1,308.92	$1,675.07	$3,029.12
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 $5,897.00 / $5,897.00 / $13,960.05	Facility		$5,897.00	$5,897.00	$13,960.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $294.83 / $1,324.34 / $1,324.34	Facility	AS	$294.83	$1,324.34	$1,324.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,329.64 / $1,708.05 / $2,553.46	Facility		$1,329.64	$1,708.05	$2,553.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $504.16 / $504.16 / $504.16	Facility	80	$504.16	$504.16	$504.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $428.53 / $428.53 / $428.53	Facility	AS	$428.53	$428.53	$428.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00