Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.46 / $9,665.00 / $21,960.90	Facility		$883.46	$9,665.00	$21,960.90
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 $590.47 / $985.04 / $1,182.05	Professional		$590.47	$985.04	$1,182.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.54 / $1,161.66 / $2,082.88	Professional		$886.54	$1,161.66	$2,082.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,627.52 / $16,871.84	Facility		$55.00	$13,627.52	$16,871.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $178.13 / $417.36 / $441.43	Facility	AS	$178.13	$417.36	$441.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.33 / $1,195.51 / $1,589.34	Facility		$929.33	$1,195.51	$1,589.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $297.70 / $297.70 / $297.70	Facility	AS	$297.70	$297.70	$297.70
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