Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.50 / $9,639.00 / $20,509.00	Facility		$833.50	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,014.00 / $25,103.02	Facility		$4,734.00	$12,014.00	$25,103.02
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 $674.61 / $936.42 / $1,123.70	Professional		$674.61	$936.42	$1,123.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.78 / $1,102.81 / $1,978.09	Professional		$842.78	$1,102.81	$1,978.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,498.15 / $12,974.26	Facility		$55.00	$10,498.15	$12,974.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.80 / $395.71 / $419.07	Facility	AS	$168.80	$395.71	$419.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.14 / $1,132.19 / $1,526.14	Facility		$882.14	$1,132.19	$1,526.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.66 / $280.66 / $280.66	Facility	AS	$280.66	$280.66	$280.66
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