Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,858.00 / $18,483.00	Facility		$1,956.72	$7,858.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
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 $759.12 / $1,141.52 / $1,369.82	Professional		$759.12	$1,141.52	$1,369.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.36 / $1,317.78 / $2,387.46	Professional		$1,027.36	$1,317.78	$2,387.46
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 / $6,847.54 / $13,960.05	Facility		$55.00	$6,847.54	$13,960.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,054.73 / $1,357.65 / $1,952.77	Facility		$1,054.73	$1,357.65	$1,952.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $401.63 / $401.63 / $401.63	Facility	80	$401.63	$401.63	$401.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00