Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,057.23 / $10,070.00 / $20,509.00	Facility		$2,057.23	$10,070.00	$20,509.00
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 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,169.65 / $2,840.24	Professional		$1,433.73	$2,169.65	$2,840.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,131.89 / $2,740.15 / $4,965.00	Professional		$2,131.89	$2,740.15	$4,965.00
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 / $25,162.68 / $30,515.88	Facility		$55.00	$25,162.68	$30,515.88
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $432.80 / $1,020.61 / $1,067.11	Facility	AS	$432.80	$1,020.61	$1,067.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,222.78 / $2,761.89 / $3,876.00	Facility		$2,222.78	$2,761.89	$3,876.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $840.26 / $840.26 / $840.26	Facility	80	$840.26	$840.26	$840.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $714.22 / $714.22 / $714.22	Facility	AS	$714.22	$714.22	$714.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,108.00 / $18,709.00	Facility		$1,930.00	$6,108.00	$18,709.00