Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,380.00	Facility		$1,820.00	$6,695.00	$17,380.00
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 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $858.81 / $1,159.39	Professional		$383.47	$858.81	$1,159.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.03 / $950.38 / $1,634.07	Professional		$691.03	$950.38	$1,634.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,694.28 / $8,957.00 / $26,542.00	Facility		$2,694.28	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.26 / $849.00 / $849.00	Facility	AS	$165.26	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.91 / $957.39 / $1,386.85	Facility		$765.91	$957.39	$1,386.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $260.13 / $260.13 / $260.13	Facility	AS	$260.13	$260.13	$260.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00