Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.43 / $10,321.00 / $22,788.00	Facility		$1,946.43	$10,321.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,786.54 / $2,628.38	Professional		$1,180.56	$1,786.54	$2,628.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,988.77 / $2,596.69 / $4,616.14	Professional		$1,988.77	$2,596.69	$4,616.14
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 / $21,643.82 / $26,216.52	Facility		$55.00	$21,643.82	$26,216.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $406.14 / $956.73 / $993.71	Facility	AS	$406.14	$956.73	$993.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,025.97 / $2,525.84 / $3,504.51	Facility		$2,025.97	$2,525.84	$3,504.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $790.02 / $790.02 / $790.02	Facility	80	$790.02	$790.02	$790.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $671.52 / $671.52 / $671.52	Facility	AS	$671.52	$671.52	$671.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00