Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.29 / $9,639.00 / $20,509.00	Facility		$1,480.29	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $11,393.00 / $22,145.00	Facility		$3,537.00	$11,393.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.74 / $1,692.96 / $2,031.55	Professional		$1,121.74	$1,692.96	$2,031.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,529.60 / $1,969.80 / $3,684.00	Professional		$1,529.60	$1,969.80	$3,684.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,618.88 / $29,256.16	Facility		$55.00	$23,618.88	$29,256.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $308.68 / $722.85 / $761.47	Facility	AS	$308.68	$722.85	$761.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,603.10 / $2,046.81 / $2,728.70	Facility		$1,603.10	$2,046.81	$2,728.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $515.67 / $515.67 / $515.67	Facility	AS	$515.67	$515.67	$515.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00