Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.10 / $9,674.00 / $22,788.00	Facility		$1,201.10	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,580.10 / $18,150.00	Facility		$3,765.00	$8,580.10	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,401.65 / $1,681.98	Professional		$967.98	$1,401.65	$1,681.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,261.49 / $1,625.99 / $2,905.10	Professional		$1,261.49	$1,625.99	$2,905.10
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 / $12,210.20 / $14,848.60	Facility		$55.00	$12,210.20	$14,848.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $252.05 / $595.08 / $627.24	Facility	AS	$252.05	$595.08	$627.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,272.97 / $1,595.84 / $2,242.64	Facility		$1,272.97	$1,595.84	$2,242.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $488.74 / $488.74 / $488.74	Facility	80	$488.74	$488.74	$488.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $415.43 / $415.43 / $415.43	Facility	AS	$415.43	$415.43	$415.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00