Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $12,001.00 / $23,933.00	Facility		$3,585.00	$12,001.00	$23,933.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $666.42 / $847.65 / $1,017.18	Professional		$666.42	$847.65	$1,017.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.58 / $987.25 / $1,789.84	Professional		$766.58	$987.25	$1,789.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,842.08 / $14,613.28	Facility		$55.00	$11,842.08	$14,613.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.79 / $362.41 / $381.52	Facility	AS	$154.79	$362.41	$381.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $779.75 / $971.05 / $1,356.24	Facility		$779.75	$971.05	$1,356.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $257.39 / $257.39 / $257.39	Facility	AS	$257.39	$257.39	$257.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00