Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.82 / $9,639.00 / $20,509.00	Facility		$911.82	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $12,671.90 / $25,864.00	Facility		$5,486.00	$12,671.90	$25,864.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,037.08	Professional		$505.96	$765.66	$1,037.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.73 / $1,020.68 / $1,817.97	Professional		$778.73	$1,020.68	$1,817.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,993.44 / $14,816.96	Facility		$55.00	$11,993.44	$14,816.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.80 / $367.25 / $387.86	Facility	AS	$156.80	$367.25	$387.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $862.22 / $1,131.92 / $1,509.64	Facility		$862.22	$1,131.92	$1,509.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $260.35 / $260.35 / $260.35	Facility	AS	$260.35	$260.35	$260.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00