Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,631.00 / $17,538.00	Facility		$1,587.51	$6,631.00	$17,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $857.89 / $1,158.15	Professional		$400.59	$857.89	$1,158.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.32 / $941.07 / $1,632.51	Professional		$690.32	$941.07	$1,632.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.84 / $8,957.00 / $26,542.00	Facility		$2,691.84	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.10 / $849.00 / $849.00	Facility	AS	$165.10	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.76 / $963.90 / $1,314.05	Facility		$755.76	$963.90	$1,314.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $201.71 / $201.71 / $201.71	Facility	AS	$201.71	$201.71	$201.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,451.00 / $20,217.00	Facility		$4,980.00	$9,451.00	$20,217.00