Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.46 / $10,004.00 / $22,788.00	Facility		$2,802.46	$10,004.00	$22,788.00
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 $994.79 / $1,430.32 / $1,716.38	Professional		$994.79	$1,430.32	$1,716.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.29 / $1,649.05 / $2,982.85	Professional		$1,287.29	$1,649.05	$2,982.85
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 / $8,505.98 / $13,960.05	Facility		$55.00	$8,505.98	$13,960.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $289.04 / $1,324.34 / $1,324.34	Facility	AS	$289.04	$1,324.34	$1,324.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.30 / $1,632.50 / $2,288.51	Facility		$1,308.30	$1,632.50	$2,288.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $496.83 / $496.83 / $496.83	Facility	80	$496.83	$496.83	$496.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $422.31 / $422.31 / $422.31	Facility	AS	$422.31	$422.31	$422.31
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