Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.47 / $6,695.00 / $17,902.00	Facility		$1,700.47	$6,695.00	$17,902.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,835.92	Facility		$66.00	$100.00	$12,835.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.91 / $318.45 / $382.14	Professional		$253.91	$318.45	$382.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.64 / $379.79 / $678.00	Professional		$290.64	$379.79	$678.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,386.28 / $13,486.75	Facility		$55.00	$3,386.28	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $67.45 / $1,279.44 / $1,279.44	Facility	AS	$67.45	$1,279.44	$1,279.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $367.17 / $509.52	Facility		$295.00	$367.17	$509.52
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.51 / $98.51 / $98.51	Facility	AS	$98.51	$98.51	$98.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00