Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,309.00	Facility		$1,992.00	$7,494.00	$18,309.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $429.63 / $848.78 / $1,145.84	Professional		$429.63	$848.78	$1,145.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.54 / $949.18 / $1,702.07	Professional		$686.54	$949.18	$1,702.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,711.08 / $8,957.00 / $26,542.00	Facility		$2,711.08	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.38 / $849.00 / $849.00	Facility	AS	$165.38	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.67 / $1,008.00 / $1,383.98	Facility		$773.67	$1,008.00	$1,383.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $232.50 / $232.50 / $232.50	Facility	AS	$232.50	$232.50	$232.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,109.00	Facility		$5,284.00	$12,267.00	$26,109.00