Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,090.00 / $21,960.90	Facility		$2,421.00	$8,090.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,770.00 / $22,895.00	Facility		$3,585.00	$11,770.00	$22,895.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,007.09	Facility		$66.00	$100.00	$6,007.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $790.39 / $1,163.96 / $1,396.75	Professional		$790.39	$1,163.96	$1,396.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.56 / $1,358.28 / $2,425.01	Professional		$1,047.56	$1,358.28	$2,425.01
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 $235.98 / $1,324.34 / $1,324.34	Facility	AS	$235.98	$1,324.34	$1,324.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.13 / $1,358.28 / $1,938.00	Facility		$1,063.13	$1,358.28	$1,938.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $402.27 / $402.27 / $402.27	Facility	80	$402.27	$402.27	$402.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $341.93 / $341.93 / $341.93	Facility	AS	$341.93	$341.93	$341.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.00 / $11,671.00 / $25,650.00	Facility		$6,456.00	$11,671.00	$25,650.00