Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.71 / $10,070.00 / $20,509.00	Facility		$2,145.71	$10,070.00	$20,509.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $29,838.39 / $29,838.39 / $29,838.39	Facility	50	$29,838.39	$29,838.39	$29,838.39
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 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $798.58 / $1,208.50 / $2,899.61	Professional		$798.58	$1,208.50	$2,899.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.64 / $2,803.64 / $5,089.88	Professional		$2,192.64	$2,803.64	$5,089.88
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 / $26,029.44 / $31,503.72	Facility		$55.00	$26,029.44	$31,503.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $447.63 / $1,054.68 / $1,095.82	Facility	AS	$447.63	$1,054.68	$1,095.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,144.63 / $2,788.02 / $3,893.60	Facility		$2,144.63	$2,788.02	$3,893.60
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $869.55 / $869.55 / $869.55	Facility	80	$869.55	$869.55	$869.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $739.12 / $739.12 / $739.12	Facility	AS	$739.12	$739.12	$739.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00