Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,586.39 / $10,321.00 / $20,509.00	Facility		$2,586.39	$10,321.00	$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 / $11,798.98	Facility		$63.50	$100.00	$11,798.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.52 / $2,552.21 / $3,528.60	Professional		$1,686.52	$2,552.21	$3,528.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,664.07 / $3,476.75 / $6,248.59	Professional		$2,664.07	$3,476.75	$6,248.59
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 / $31,579.32 / $38,277.36	Facility		$55.00	$31,579.32	$38,277.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $543.17 / $1,279.93 / $1,331.79	Facility	AS	$543.17	$1,279.93	$1,331.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,803.77 / $3,476.25 / $4,704.80	Facility		$2,803.77	$3,476.25	$4,704.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,056.49 / $1,056.49 / $1,056.49	Facility	80	$1,056.49	$1,056.49	$1,056.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $898.02 / $898.02 / $898.02	Facility	AS	$898.02	$898.02	$898.02
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