Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,679.00 / $18,252.00	Facility		$1,208.95	$5,679.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,542.00 / $9,596.00	Facility		$1,615.00	$4,542.00	$9,596.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $237.99 / $291.51	Professional		$194.34	$237.99	$291.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.82 / $285.58 / $512.07	Professional		$220.82	$285.58	$512.07
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 / $548.01 / $1,098.30	Facility		$55.00	$548.01	$1,098.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.81 / $107.63 / $109.83	Facility	AS	$45.81	$107.63	$109.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.22 / $278.83 / $381.51	Facility		$222.22	$278.83	$381.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $89.16 / $89.16 / $89.16	Facility	80	$89.16	$89.16	$89.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $75.79 / $75.79 / $75.79	Facility	AS	$75.79	$75.79	$75.79
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00