Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.50 / $9,674.00 / $22,788.00	Facility		$1,006.50	$9,674.00	$22,788.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,528.00 / $9,880.00 / $20,786.00	Facility		$4,528.00	$9,880.00	$20,786.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,161.58 / $1,464.84	Professional		$967.98	$1,161.58	$1,464.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.70 / $1,312.38 / $2,348.87	Professional		$1,024.70	$1,312.38	$2,348.87
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 / $10,771.97 / $13,231.24	Facility		$55.00	$10,771.97	$13,231.24
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,266.90 / $2,988.85 / $3,169.64	Facility	62	$1,266.90	$2,988.85	$3,169.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.70 / $478.22 / $507.14	Facility	AS	$202.70	$478.22	$507.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.73 / $1,318.31 / $1,983.98	Facility		$1,047.73	$1,318.31	$1,983.98
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,555.81 / $1,555.81 / $1,555.81	Facility	62	$1,555.81	$1,555.81	$1,555.81
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $398.29 / $398.29 / $398.29	Facility	80	$398.29	$398.29	$398.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $338.54 / $338.54 / $338.54	Facility	AS	$338.54	$338.54	$338.54
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