Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $4,848.00 / $16,125.00	Facility		$115.66	$4,848.00	$16,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $120.18 / $159.37	Professional		$95.17	$120.18	$159.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $121.77 / $229.76	Professional		$85.65	$121.77	$229.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.71 / $427.98 / $12,000.00	Facility		$405.71	$427.98	$12,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $40.57 / $42.80 / $42.80	Facility	AS	$40.57	$42.80	$42.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $116.67 / $175.08	Facility		$84.92	$116.67	$175.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $44.97 / $44.97 / $44.97	Facility	80	$44.97	$44.97	$44.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $38.22 / $38.22 / $38.22	Facility	AS	$38.22	$38.22	$38.22
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00