Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $9,639.00 / $20,509.00	Facility		$927.00	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,393.00 / $22,145.00	Facility		$3,585.00	$11,393.00	$22,145.00
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 $590.47 / $893.56 / $1,267.96	Professional		$590.47	$893.56	$1,267.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.25 / $1,248.20 / $2,222.71	Professional		$952.25	$1,248.20	$2,222.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,675.68 / $18,166.24	Facility		$55.00	$14,675.68	$18,166.24
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.80 / $449.30 / $474.32	Facility	AS	$191.80	$449.30	$474.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.56 / $1,267.96 / $1,697.15	Facility		$998.56	$1,267.96	$1,697.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $320.95 / $320.95 / $320.95	Facility	AS	$320.95	$320.95	$320.95
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