Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $17,378.01	Facility		$1,659.59	$6,025.60	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $13,803.84	Facility		$2,570.40	$4,570.88	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $263.03	Professional		$194.98	$208.93	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $457.09	Professional		$190.55	$245.47	$457.09
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,412.54	Facility		$54.95	$56.23	$1,412.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	AS	$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $457.09	Facility		$213.80	$269.15	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54