Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.50 / $5,601.00 / $18,252.00	Facility		$1,158.50	$5,601.00	$18,252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
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 $183.54 / $220.25 / $277.75	Professional		$183.54	$220.25	$277.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $267.11 / $479.19	Professional		$203.69	$267.11	$479.19
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 / $459.63 / $1,300.00	Facility		$55.00	$459.63	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $42.21 / $99.16 / $101.32	Facility	AS	$42.21	$99.16	$101.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.08 / $265.06 / $363.36	Facility		$209.08	$265.06	$363.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $82.23 / $82.23 / $82.23	Facility	80	$82.23	$82.23	$82.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.89 / $69.89 / $69.89	Facility	AS	$69.89	$69.89	$69.89
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00