Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.42 / $6,626.00 / $17,538.00	Facility		$1,351.42	$6,626.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,181.81	Facility		$64.40	$100.00	$8,181.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $254.44 / $307.06	Professional		$202.90	$254.44	$307.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $301.69 / $538.59	Professional		$230.88	$301.69	$538.59
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 / $594.23 / $3,855.60	Facility		$55.00	$594.23	$3,855.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $46.61 / $108.84 / $114.64	Facility	AS	$46.61	$108.84	$114.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.35 / $309.06 / $460.50	Facility		$241.35	$309.06	$460.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $91.61 / $91.61 / $91.61	Facility	80	$91.61	$91.61	$91.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.87 / $77.87 / $77.87	Facility	AS	$77.87	$77.87	$77.87
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00