Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,980.00 / $17,030.00	Facility		$1,539.00	$5,980.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $430.01 / $1,030.47 / $1,391.13	Professional		$430.01	$1,030.47	$1,391.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,110.95 / $2,011.61	Professional		$801.00	$1,110.95	$2,011.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,094.16 / $8,957.00 / $16,394.00	Facility		$3,094.16	$8,957.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.86 / $849.00 / $849.00	Facility	AS	$191.86	$849.00	$849.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.76 / $1,108.75 / $1,540.36	Facility		$902.76	$1,108.75	$1,540.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $276.19 / $276.19 / $276.19	Facility	AS	$276.19	$276.19	$276.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00