Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
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 $463.89 / $1,067.97 / $1,441.76	Professional		$463.89	$1,067.97	$1,441.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.56 / $1,154.43 / $2,088.81	Professional		$828.56	$1,154.43	$2,088.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,221.00 / $8,957.00 / $26,542.00	Facility		$3,221.00	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $199.51 / $849.00 / $849.00	Facility	AS	$199.51	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $937.29 / $1,155.00 / $1,605.84	Facility		$937.29	$1,155.00	$1,605.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.87 / $287.87 / $287.87	Facility	AS	$287.87	$287.87	$287.87
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