Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.44 / $9,639.00 / $20,509.00	Facility		$887.44	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,697.00 / $22,145.00	Facility		$3,612.00	$11,697.00	$22,145.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $770.66 / $986.00 / $1,183.20	Professional		$770.66	$986.00	$1,183.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.68 / $1,165.85 / $2,088.52	Professional		$889.68	$1,165.85	$2,088.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,723.52 / $16,984.32	Facility		$55.00	$13,723.52	$16,984.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $179.36 / $420.09 / $443.03	Facility	AS	$179.36	$420.09	$443.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.52 / $1,127.73 / $1,577.60	Facility		$905.52	$1,127.73	$1,577.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $299.33 / $299.33 / $299.33	Facility	AS	$299.33	$299.33	$299.33
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