Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,392.09 / $9,674.00 / $20,509.00	Facility		$2,392.09	$9,674.00	$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 / $10,373.42	Facility		$63.50	$100.00	$10,373.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,169.65 / $3,240.72	Professional		$1,433.73	$2,169.65	$3,240.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,451.91 / $3,201.55 / $5,691.17	Professional		$2,451.91	$3,201.55	$5,691.17
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 / $29,111.52 / $35,236.08	Facility		$55.00	$29,111.52	$35,236.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $500.71 / $1,179.57 / $1,225.18	Facility	AS	$500.71	$1,179.57	$1,225.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,579.33 / $3,224.16 / $4,343.49	Facility		$2,579.33	$3,224.16	$4,343.49
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $974.14 / $974.14 / $974.14	Facility	80	$974.14	$974.14	$974.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $828.02 / $828.02 / $828.02	Facility	AS	$828.02	$828.02	$828.02
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